NPIMap

Organization Active NPI

Cypress Counseling Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
National Provider Identifier
1497419600
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CYPRESS COUNSELING CENTER, PLLC
Practice address
804 Stamper Rd Ste 102
Fayetteville, NC 28303-4163
Phone
(910) 229-3888
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Crystal Gaynell Depietro, LCSW, CCMNPI 1265900088
Title
Owner
Phone
(910) 551-0835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

804 Stamper Rd Ste 102
Fayetteville, NC 28303-4163

Mailing address

804 Stamper Rd Ste 102
Fayetteville, NC 28303-4163
Phone (910) 229-3888

National Provider Directory

National Provider Directory

Locations

804 Stamper Rd
Ste 102
Fayetteville, NC 28303
Phone (910) 229-3888

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1497419600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 STAMPER RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034163",
            "telephone_number": "910-229-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 STAMPER RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034163",
            "telephone_number": "910-229-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-05-08",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "DEPIETRO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "GAYNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-551-0835",
        "authorized_official_credential": "LCSW, CCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.