Cynthia J Clinton, LPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19656 Issued in TX

Legal business name

CYNTHIA J CLINTON, LPC

Practice address

4000 Pioneer Rd
Ste. 105
Balch Springs, TX 75180-5006

Phone

(214) 316-0522

Fax

(972) 286-6111

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Cynthia J Clinton, LPCNPI 1831210228

Title

Owner

Phone

(214) 316-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia J Clinton, LPC

  • Professional Counselor
  • Balch Springs, TX
  • NPI 1831210228
  NPD (past) Authorized official

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1457779001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 WOOD OAK DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751802630",
            "telephone_number": "214-316-0522",
            "fax_number": "972-286-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PIONEER RD",
            "address_2": "STE. 105",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751805006",
            "telephone_number": "214-316-0522",
            "fax_number": "972-286-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J CLINTON, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-316-0522",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "19656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3238057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Balch Springs, TX
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.