Individual provider Active NPI

Cynthia Renea Mitchell, MS, LMHC

  • Mental Health Counselor
  • Atlantic, IA
National Provider Identifier
1407466220
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
100723 Issued in IA
Practice address
514 Chestnut St
Atlantic, IA 50022-1248
Phone
(712) 340-6618
Fax
(712) 254-7143
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 100723 IA Primary

Addresses

Primary practice location

514 Chestnut St
Atlantic, IA 50022-1248

Mailing address

514 Chestnut St
Atlantic, IA 50022-1248
Phone (712) 340-6618

Other identifiers 1

IdentifierTypeStateIssuer
100723OtherIALMHC (STATE LICENSE)

Other names 1

  • Cyndi Renea Mitchell 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
100723IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Homes Family Services, Inc Mental Health PastSince Aug 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1407466220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CHESTNUT ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221248",
            "telephone_number": "712-340-6618",
            "fax_number": "712-254-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CHESTNUT ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221248",
            "telephone_number": "712-340-6618",
            "fax_number": "712-254-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CYNTHIA",
        "middle_name": "RENEA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "100723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC (STATE LICENSE)",
            "identifier": "100723",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNDI",
            "last_name": "MITCHELL",
            "middle_name": "RENEA",
            "credential": "MS, LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.