Active NPI
Cynthia Cucunato, L.P.C.C
- Counselor
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E-0008048
- Practice address
- 15311 Cortez Blvd
Brooksville, FL 34613-6005 - Phone
- (352) 540-9335
- Fax
- (352) 544-0722
- NPI assigned
- Jul 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH11328 | FL | |
| Professional Counselor | 101YP2500X | E.1901267 | OH | |
| Counselor | 101Y00000X | E-0008048 | OH | Primary |
Addresses
Primary practice location
15311 Cortez Blvd
Brooksville, FL 34613-6005
Mailing address
6629 W Central Ave
Toledo, OH 43617-1098
Phone (567) 455-5361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (419) 330-1349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0008048 | OH | MD | Counselor |
| MH11328 | FL | MD | Professional Counselor |
| E.1901267 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Past | Accepting new patients |
Locations
434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327
202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327
1433 5th St NW
New Philadelphia, OH 44663
Phone (330) 343-8171
885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050
Organizations & group practices 4
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.
-
- Developmental - Behavioral Pediatrics Physician
- Berea, OH
- NPI 1609123728
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
-
- Family Medicine Physician
- Lorain, OH
- NPI 1487452603
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1417962002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6629 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171098",
"telephone_number": "567-455-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15311 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136005",
"telephone_number": "352-540-9335",
"fax_number": "352-544-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCUNATO",
"first_name": "CYNTHIA",
"credential": "L.P.C.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH11328",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901267",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E-0008048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.