Cynthia Fata, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC 358 Issued in HI

Practice address

614 Kilauea Ave
Suite 101
Hilo, HI 96720-4272

Phone

(808) 854-0436

NPI assigned

May 18, 2009

Last updated

Apr 14, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Cynthia Fata, LMHC, Counseling and Consulting, LLC

  • Community/Behavioral Health Agency
  • Hilo, HI
  • NPI 1568841690
  NPD (past) Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1538394648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 KILAUEA AVE",
            "address_2": "SUITE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204272",
            "telephone_number": "808-854-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 KILAUEA AVE",
            "address_2": "SUITE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204272",
            "telephone_number": "808-854-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATA",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC 358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Q Hawaii, LLC (Caron K Fernandez, OD)
• Eyeland Eyedoc LLC
• Eyewear Hawaii, Inc.
• Eyewear Hilo, LLC
• Amedeo Daniel Ezzo-White Sr.
• Joshua Fay
• Barbara Feliciano, LCSW
• Alexis Fellowes
• Macintyre Felton
• Caron K Fernandez, OD

• Mental Health Counselor in Hilo, HI
• Providers in Hilo, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.