Individual provider Active NPI

Cynthia L White, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1407566847
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2022-0823 Issued in NM
Practice address
2356 Fox Rd Ste 300
Santa Fe, NM 87507-7294
Phone
(505) 927-2052
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2022-0823 NM Primary

Addresses

Primary practice location

2356 Fox Rd Ste 300
Santa Fe, NM 87507-7294

Mailing address

PO Box 401
Tesuque, NM 87574-0401
Phone (505) 927-2052

Other practice location 1

1925 Aspen Dr Ste 701A
Santa Fe, NM 87505-5470
Phone (505) 927-2052

Other practice location 2

5 Jacona Rd
Santa Fe, NM 87506-1306
Phone (505) 927-2052

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

State licenses

LicenseStateTypeSpecialty
CTB-2022-0823NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1407566847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740401",
            "telephone_number": "505-927-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 FOX RD STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875077294",
            "telephone_number": "505-927-2052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Aspen Dr Ste 701A",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875055470",
            "country_code": "US",
            "telephone_number": "505-927-2052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Jacona Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875061306",
            "country_code": "US",
            "telephone_number": "505-927-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.