Individual provider Active NPI

Cynthia Max-Wright, LMFT

  • Marriage & Family Therapist
  • Placerville, CA
National Provider Identifier
1518033901
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 44468 Issued in CA
Practice address
312 Main Street
Suite #203
Placerville, CA 95667-5698
Phone
(530) 498-0026
Fax
(530) 331-0306
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 44468 CA Primary

Addresses

Primary practice location

312 Main Street
Suite #203
Placerville, CA 95667-5698

Mailing address

PO Box 6488
Folsom, CA 95763-6488
Phone (530) 498-0026

Other names 1

  • Ms. Cynthia Max Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240129001255 CA Practitioner - Marriage and Family Therapist 6709239593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 44468CAMDMarriage & Family Therapist
46220CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Marriage and Family Therapy Corp CurrentSince Jan 4, 2024 Accepting new patients

Locations

3330 Cameron Park Dr
Ste 400
Cameron Park, CA 95682
Phone (916) 581-0054

214 Estates Dr
Ste E
Roseville, CA 95678
Phone (916) 299-8172

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1518033901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6488",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957636488",
            "telephone_number": "530-498-0026",
            "fax_number": "530-331-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MAIN STREET",
            "address_2": "SUITE #203",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675698",
            "telephone_number": "530-498-0026",
            "fax_number": "530-331-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX-WRIGHT",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 44468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MAX",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.