Cynthia Sullivan Shanklin, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2750 Issued in AL

Practice address

6767 Old Madison Pike NW Ste 620
Huntsville, AL 35806-4524

Phone

(256) 585-5705

Fax

(256) 895-3213

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Addiction & Mental Health Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huntsville, AL
  • NPI 1134277577
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1366015141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 OLD MADISON PIKE NW STE 620",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064524",
            "telephone_number": "256-585-5705",
            "fax_number": "256-895-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 OLD MADISON PIKE NW STE 620",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064524",
            "telephone_number": "256-585-5705",
            "fax_number": "256-895-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "CYNTHIA",
        "middle_name": "SULLIVAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2750",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bradfordhealth.net",
            "affiliation": "N",
            "address_1": "6767 Old Madison Pike NW Ste 620",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358064524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amna Shaikh, MD
• Thomas James Shakar, MD
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• Shamatha Counseling LLC
• Tess Robertson Shams, CRNP
• Lauren Sharif-Krausz, CRNP
• Sharon Foster Gardepe, M.D., P.C.
• Cianna Cimone Sharp
• Clarissa Sharp
• Deborah C. Sharp, CCC/SLP

• Addiction (Substance Use Disorder) Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Addiction (Substance Use Disorder) Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.