Active NPI
Cynthia Fritz, LPC, LCSW
- Mental Health Counselor
- Bridgeton, MO
National Provider Identifier
1487745030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001104
- Practice address
- 12147 Natural Bridge Rd.
Bridgeton, MO 63044 - Phone
- (314) 298-0602
- Fax
- (314) 895-4641
- NPI assigned
- Sep 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001104 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 004158 | MO |
Addresses
Primary practice location
12147 Natural Bridge Rd.
Bridgeton, MO 63044
Mailing address
12147 Natural Bridge Rd.
Bridgeton, MO 63044
Phone (314) 298-0602
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431718980FRI | Other | MO | UMMH |
| 493453179 | Medicaid | MO | |
| 176522 | Other | MO | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004158 | MO | MD | Chiropractor |
| 001104 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1487745030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12147 NATURAL BRIDGE RD.",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-298-0602",
"fax_number": "314-895-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12147 NATURAL BRIDGE RD.",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-298-0602",
"fax_number": "314-895-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "CYNTHIA",
"name_prefix": "Ms.",
"credential": "LPC, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "001104",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004158",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMMH",
"identifier": "431718980FRI",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493453179",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "176522",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.