Individual provider Active NPI

Cynthia J Rosa, MA, LPC, ATR, CACIII

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1295897163
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
176 Issued in CO
Practice address
6033 S Eudora Way
Centennial, CO 80121-3331
Phone
(720) 899-9190
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3200 CO
Professional Counselor 101YP2500X 176 CO Primary
Art Therapist 221700000X 85-150 CO

Addresses

Primary practice location

6033 S Eudora Way
Centennial, CO 80121-3331

Mailing address

6033 S Eudora Way
Centennial, CO 80121-3331
Phone (720) 899-9190

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3200COMDMental Health Counselor
176COMDClinical Social Worker
85-150COMDArt Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2945/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1295897163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 S EUDORA WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213331",
            "telephone_number": "720-899-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 S EUDORA WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213331",
            "telephone_number": "720-899-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "MA, LPC, ATR, CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "176",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CO",
            "license": "85-150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.