Individual provider Active NPI

Cynthia Ciccarello, LMHC

  • Mental Health Counselor
  • Lakewood, WA
National Provider Identifier
1215317854
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60515854 Issued in WA
Practice address
8524 Steilacoom Blvd SW
Suite 102B #2
Lakewood, WA 98498-4772
Phone
(253) 237-3348
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60515854 WA Primary

Addresses

Primary practice location

8524 Steilacoom Blvd SW
Suite 102B #2
Lakewood, WA 98498-4772

Mailing address

8109 70TH Ave SW
Lakewood, WA 98499-2009
Phone (253) 213-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH 60515854WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1215317854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 70TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992009",
            "telephone_number": "253-213-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 STEILACOOM BLVD SW",
            "address_2": "SUITE 102B #2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984984772",
            "telephone_number": "253-237-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLO",
        "first_name": "CYNTHIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60515854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.