Individual provider Active NPI

Cynthia Woodall

  • Mental Health Counselor
  • Andalusia, AL
National Provider Identifier
1356782981
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3155 Issued in AL
Practice address
19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone
(334) 222-2525
Fax
(334) 222-4660
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3155 AL Primary

Addresses

Primary practice location

19815 Bay Branch Rd
Andalusia, AL 36420-9234

Mailing address

19815 Bay Branch Rd
Andalusia, AL 36420-9234

Other names 1

  • Cindy Woodall Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3155ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Integrated Services LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1356782981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234",
            "telephone_number": "334-222-2525",
            "fax_number": "334-222-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "WOODALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.