Cynthia Marie Irwin, LPC, MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0000001836 Issued in TN

Practice address

216 Fairview Dr
Maryville, TN 37803-0537

Phone

(865) 681-4914

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rivendell Center LLC

  • Clinical Social Worker
  • Maryville, TN
  • NPI 1720097975
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1538330592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FAIRVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378030537",
            "telephone_number": "865-681-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FAIRVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378030537",
            "telephone_number": "865-681-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "LPC, MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy, LLC (Benchmark PT)
• Robert Vinsant Ingle, D.D.S.
• Robert Vinsant Ingle Jr., D.D.S.
• Sarah Ingram, CCC-SLP
• Tori Northcutt Ingram
• Joshua Lucas Ivens
• Robert Eugene Ivy, M.D,
• J Newsom Baker, DDS, PC
• Christine Jackson, PHARMD
• Thomas Spencer Jackson, DDS

• Mental Health Counselor in Maryville, TN
• Providers in Maryville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.