Individual provider Active NPI

Cindy H Myers, MS, LMHC

  • Mental Health Counselor
  • Crestview, FL
National Provider Identifier
1467108704
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10965 Issued in FL
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

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001654 FL Practitioner - Mental Health Counselor 7315489572 Reassigns benefits to 1 organization

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
Bay Breeze Counseling, PLLCGroup PAC ID 2466811344, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Bay Breeze Counseling, PLLC Mental Health CurrentSince Mar 30, 2024 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

Verify at the official NPI Registry.