Cynthia Baron, LCPC
Individual provider Active NPI Professional Counselor · Harvey, IL
NPI 1306509922 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1306509922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180013242 (IL)
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 596-5518
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180013242 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180013242 | IL | Yes |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180013242 | Medicaid | IL |
Other providers in Harvey, IL
- Mfombu Ayukesong
- John William Baldwin
- Kamilah Banks Word
- Tiara Banks
- Laverne Monise Barnes
- Judith M Bazil
- Charles A Beck Jr.
- Better Future for Families
- Better Future for Families Foundation
- Better Sister and Brother Growth Network
All providers in Harvey, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.