Cynthia A Henrie, MFT, BCETS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 41617 Issued in CA

Practice address

2107 Panamint Dr
Los Angeles, CA 90065-3433

Phone

(323) 829-3548

NPI assigned

Jan 10, 2008

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 12, 2024 through Nov 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1427234269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PANAMINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653433",
            "telephone_number": "323-829-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PANAMINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653433",
            "telephone_number": "323-829-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 Fidler Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908152932",
            "country_code": "US",
            "telephone_number": "323-829-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIE",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MFT, BCETS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41617",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11784126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Grace Hennessee, PCD(DONA)
• Greer Hennessy
• Morgan Lorraine Hennessy, MD, PHD
• Rose Hennessy, M.P.H.
• Thomas William Henning, LMFT
• Megan Henriod, PT, DPT
• Jaquelinne Henriquez Diaz
• Bryan Alexis Henriquez, MD
• Caitlin Rose Henriquez
• Christian Henriquez

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.