Active NPI
Cynthia Cooper Smock, MA, LPC, CAC III
- Mental Health Counselor
- Gunnison, CO
National Provider Identifier
1376784546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 284
- Practice address
- 107 E Georgia
Suite 3E
Gunnison, CO 81230 - Phone
- (970) 641-5119
- Fax
- (970) 641-5118
- NPI assigned
- Mar 17, 2009
- Last updated
- Mar 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2606 | CO | |
| Mental Health Counselor | 101YM0800X | 284 | CO | Primary |
Addresses
Primary practice location
107 E Georgia
Suite 3E
Gunnison, CO 81230
Mailing address
PO Box 801
Gunnison, CO 81230
Phone (970) 641-5119
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2606 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 284 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1376784546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801",
"city": "GUNNISON",
"state": "CO",
"postal_code": "81230",
"telephone_number": "970-641-5119",
"fax_number": "970-641-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E GEORGIA",
"address_2": "SUITE 3E",
"city": "GUNNISON",
"state": "CO",
"postal_code": "81230",
"telephone_number": "970-641-5119",
"fax_number": "970-641-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOCK",
"first_name": "CYNTHIA",
"middle_name": "COOPER",
"name_prefix": "Ms.",
"credential": "MA, LPC, CAC III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "2606",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gunnison, CO
- Sims Chiropractic Clinic Ministering Health
- Jacob Randopf Sims, D.C.
- Laura Ellen Sims, D.C.
- Six Points Evaluation and Training,Inc.
- Timoni Slusher, LAC DACM
- Kurt M. Smudzinski, CRNA
- Southwest Colorado Mental Health Center Inc
- Southwest Colorado Mental Health Center Inc (Axis Health System)
- Southwest Colorado Mental Health Center, Inc (Axis Health System)
- Jill C Steele, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.