Individual provider Active NPI

Cynthia Nassar, LPC, LMFT

  • Marriage & Family Therapist
  • Lake Charles, LA
National Provider Identifier
1245403658
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
574 Issued in LA
Practice address
4216 Lake St
Lake Charles, LA 70605-4308
Phone
(337) 540-4205
Fax
(337) 474-8123
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2140 LA
Marriage & Family Therapist 106H00000X 574 LA Primary

Addresses

Primary practice location

4216 Lake St
Lake Charles, LA 70605-4308

Mailing address

PO Box 6446
Lake Charles, LA 70606-6446
Phone (337) 540-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002568 LA Practitioner - Marriage and Family Therapist 5193175586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Area Psychiatry LLCGroup PAC ID 7810938321, 13 clinicians

Practice addresses (Care Compare)

401 Dr Michael Debakey Dr
Suite 301
Lake Charles, LA 70601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2140LAMDProfessional Counselor
574LAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Area Psychiatry LLC CurrentSince Jan 1, 2024 Accepting new patients
Allyson Warshaw, LCSW LLC Past Accepting new patients

Locations

333 Dr Michael Debakey Dr
Ste 220
Lake Charles, LA 70601
Phone (337) 478-9828

401 Dr Michael Debakey Dr
Ste 301
Lake Charles, LA 70601

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1245403658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6446",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706066446",
            "telephone_number": "337-540-4205",
            "fax_number": "337-474-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054308",
            "telephone_number": "337-540-4205",
            "fax_number": "337-474-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "CYNTHIA",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2140",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.