Cynthia Bergstrom Devlin, L.P.C.C., L.M.F.T.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0189951 Issued in NM

Practice address

1229 S Saint Francis Dr Ste B
Santa Fe, NM 87505-4052

Phone

(505) 303-3586

Fax

(505) 303-3586

NPI assigned

Aug 5, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 10, 2024 through Jul 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devlin Counseling Center, Inc

  • Marriage & Family Therapist
  • Farmille, VA
  • NPI 1447268180

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245249747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUENA VENTURA PL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088377",
            "telephone_number": "505-303-3586",
            "fax_number": "505-303-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S SAINT FRANCIS DR STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054052",
            "telephone_number": "505-303-3586",
            "fax_number": "505-303-3586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700B S Main St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239012537",
            "country_code": "US",
            "telephone_number": "434-392-9859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "CYNTHIA",
        "middle_name": "BERGSTROM",
        "credential": "L.P.C.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0189951",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0189951",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0189901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "223065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Deutsch, MS, LN
• Devin Giron, DDS
• Daniel Devito
• Neal N Devitt, MD
• Paula Lewis Devitt, RNCDE
• Lynn A Devlin, PA
• Casey Dexter
• Harini Dharmagadda, RDH
• Ilango Dharmarajan, AGPCNP-BC
• Harriet Dial

• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.