Cynthia Lee Willenbrock, MA, LAC, PCLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

63194 Issued in MT

Practice address

938 Longstaff St
Missoula, MT 59801-3602

Phone

(314) 306-5008

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1457131948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 LONGSTAFF ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013602",
            "telephone_number": "314-306-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 LONGSTAFF ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013602",
            "telephone_number": "314-306-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENBROCK",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "credential": "MA, LAC, PCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306543",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "64741",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "63194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Windle Wiley, MD
• Lauren E Wilgus
• Amora Wilkins, LCSW
• Jennifer Wilkinson, M.D.
• Mary Willard, SWLC
• William D. Patenaude, PHD PC
• Alicia Gene Williams
• Andrea Williams
• Carin Williams, CCC-SLP
• Erin E Williams, LCPC

• Addiction (Substance Use Disorder) Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.