Individual provider Active NPI

Cynthia Lynn Marble, MA, LCMHC, LADC

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1447722186
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0000733 Issued in VT
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

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
151.0126994VTMDAddiction (Substance Use Disorder) Counselor
068.0000733VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.