Active NPI
Cindy H Myers, MS, LMHC
- Mental Health Counselor
- Crestview, FL
National Provider Identifier
1467108704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10965
- Practice address
- 101 E James Lee Blvd
Crestview, FL 32536-3501 - Phone
- (850) 217-0976
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10965 | FL | Primary |
Addresses
Primary practice location
101 E James Lee Blvd
Crestview, FL 32536-3501
Mailing address
6107 Eden SQ
Crestview, FL 32539-9516
Other names 1
- Cindy R Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4591 E Hwy 20
Suite 2021
Niceville, FL 32578-8844
Phone (850) 333-6828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Breeze Counseling, PLLC | Mental Health | Current | Accepting new patients |
Locations
4591 E Highway 20
Ste 2021
Niceville, FL 32578
Phone (850) 333-6828
4516 E Highway 20
Niceville, FL 32578
Phone (251) 533-5457
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": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1467108704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6107 EDEN SQ",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E JAMES LEE BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363501",
"telephone_number": "850-217-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CINDY",
"middle_name": "H",
"credential": "MS, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "HARRIS",
"middle_name": "R",
"credential": "MS, LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.