Active NPI
Cynthia Lynn Grazioso, LMHC
- Mental Health Counselor
- Wellington, FL
National Provider Identifier
1356366603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4827
- Practice address
- 11120 S Crown Way Ste 1
Wellington, FL 33414-8718 - Phone
- (561) 419-6779
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4827 | FL | Primary |
Addresses
Primary practice location
11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Mailing address
8082 Tortuga LN
Boynton Beach, FL 33436-1738
Phone (561) 740-3953
Other practice location 1
2840 6th Ave S
Lake Worth, FL 33461-4729
Phone (561) 383-9800 ext. 1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 766909700 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH4827 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1356366603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8082 TORTUGA LN",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334361738",
"telephone_number": "561-740-3953",
"fax_number": "561-740-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 S CROWN WAY STE 1",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148718",
"telephone_number": "561-419-6779"
}
],
"practiceLocations": [
{
"address_1": "2840 6th Ave S",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334614729",
"country_code": "US",
"telephone_number": "561-383-9800 x1110",
"fax_number": "561-383-9851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAZIOSO",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766909700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.