Cynthia Jolly, RC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00049274 Issued in WA

Practice address

2905A Hewitt Ave
Everett, WA 98201-3821

Phone

(425) 359-4161

Fax

(424) 513-2466

NPI assigned

May 16, 2007

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 names 1

• Ms. Cynthia Jo Jolly Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396952891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905A HEWITT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013821",
            "telephone_number": "425-359-4161",
            "fax_number": "424-513-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905A HEWITT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013821",
            "telephone_number": "425-359-4161",
            "fax_number": "424-513-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "CYNTHIA",
        "credential": "RC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00049274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JOLLY",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "RC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gloria Marie Johnston, LICSW
• Katyanna Johnston
• Valerie Am Johnston, PT
• Monica Joiner
• Cooper Jay Jolley
• Heather Anne Jolly
• Whitney Jones-Downs
• Kameron Jones-Mike, RN
• Danielle Jones
• Gracie Lynn Jones

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.