Active NPI
Cynthia Lynn Marble, MA, LCMHC, LADC
- Mental Health Counselor
- Brattleboro, VT
National Provider Identifier
1447722186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0000733
- Practice address
- 300 Maple St Ste 201
Brattleboro, VT 05301-6512 - Phone
- (802) 257-2415
- Fax
- (802) 251-0030
- NPI assigned
- Dec 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151.0126994 | VT | |
| Mental Health Counselor | 101YM0800X | 068.0000733 | VT | Primary |
Addresses
Primary practice location
300 Maple St Ste 201
Brattleboro, VT 05301-6512
Mailing address
99 Wayland Ave Ste 100
Providence, RI 02906-4314
Phone (802) 257-2415
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151.0126994 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 068.0000733 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Houses of New England, Inc. | Addiction (Substance Use Disorder) | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Providence, RI
- NPI 1992884787
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1447722186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WAYLAND AVE STE 100",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064314",
"telephone_number": "802-257-2415",
"fax_number": "802-251-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAPLE ST STE 201",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016512",
"telephone_number": "802-257-2415",
"fax_number": "802-251-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBLE",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MA, LCMHC, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "151.0126994",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0000733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.