Active NPI
Cynthia Ann Leblanc, MFT
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1427306992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0001198
- Practice address
- 2500 N Circle Dr Ste 400
Colorado Springs, CO 80909-1184 - Phone
- (719) 331-6653
- Fax
- (719) 623-0458
- NPI assigned
- Aug 15, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0001198 | CO | Primary |
Addresses
Primary practice location
2500 N Circle Dr Ste 400
Colorado Springs, CO 80909-1184
Mailing address
1765 Rimwood Dr
Colorado Springs, CO 80918-7874
Phone (719) 331-6653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000148438 | Medicaid | CO |
Other names 1
- Ms. Cynthia Leblanc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://rootstoground.clientsecure.me | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001198 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots to Ground Counseling | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2500 N Circle Dr
Ste 400
Colorado Springs, CO 80909
Phone (719) 331-6653
5540 N Academy Blvd
Ste 210
Colorado Springs, CO 80918
Phone (719) 330-3366
4360 Montebello Dr
Ste 400
Colorado Springs, CO 80918
Phone (719) 593-9228
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.
-
- Marriage & Family Therapist
- Colorado Springs, CO
- NPI 1962958074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1427306992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 RIMWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809187874",
"telephone_number": "719-331-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N CIRCLE DR STE 400",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091184",
"telephone_number": "719-331-6653",
"fax_number": "719-623-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "0001198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000148438",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://rootstoground.clientsecure.me",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "https://rootstoground.clientsecure.me",
"address_1": "2500 N Circle Dr Ste 400",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809091184",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "LEBLANC",
"prefix": "MS.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.