Individual provider Active NPI

Cynthia Stava, APCC

  • Professional Counselor
  • Palm Springs, CA
National Provider Identifier
1538715289
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APCC6265 Issued in CA
Practice address
4375 E Calle de Ricardo Ste B
Palm Springs, CA 92264-1448
Phone
(760) 534-3487
Fax
(760) 507-8445
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC6265 CA Primary

Addresses

Primary practice location

4375 E Calle de Ricardo Ste B
Palm Springs, CA 92264-1448

Mailing address

4375 E Calle de Ricardo Ste B
Palm Springs, CA 92264-1448
Phone (760) 534-3487

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

LicenseStateTypeSpecialty
APCC6265CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Stava Counseling Inc. CurrentSince Mar 27, 2022 Accepting new patients
Blue Tiger Recovery Inc PastSince Aug 18, 2019 Accepting new patients

Locations

72925 Fred Waring Dr
Ste 201
Palm Desert, CA 92260
Phone (562) 547-3383

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13108/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1538715289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 E CALLE DE RICARDO STE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641448",
            "telephone_number": "760-534-3487",
            "fax_number": "760-507-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 E CALLE DE RICARDO STE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641448",
            "telephone_number": "760-534-3487",
            "fax_number": "760-507-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVA",
        "first_name": "CYNTHIA",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.