Active NPI
Cynthia Lou Doms
- Mental Health Counselor
- Eden Prairie, MN
National Provider Identifier
1407097363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959 - Phone
- (952) 224-2282
- Fax
- (952) 224-2284
- NPI assigned
- Mar 23, 2009
- Last updated
- Mar 23, 2009
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Mailing address
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Phone (952) 224-2282
Other names 1
- Cynthia Bartholomaus Doms
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Past | Accepting new patients |
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": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1407097363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 MITCHELL RD",
"address_2": "SUITE 100",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553441959",
"telephone_number": "952-224-2282",
"fax_number": "952-224-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 MITCHELL RD",
"address_2": "SUITE 100",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553441959",
"telephone_number": "952-224-2282",
"fax_number": "952-224-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMS",
"first_name": "CYNTHIA",
"middle_name": "LOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "DOMS",
"middle_name": "BARTHOLOMAUS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.