Individual provider Active NPI

Cynthia Marie Holmes, M.A.

  • Marriage & Family Therapist
  • West Covina, CA
National Provider Identifier
1548385289
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45565 Issued in CA
Practice address
1501 W Cameron Ave
Suite 110-5
West Covina, CA 91790-2724
Phone
(626) 221-9555
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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 MFC45565 CA Primary

Addresses

Primary practice location

1501 W Cameron Ave
Suite 110-5
West Covina, CA 91790-2724

Mailing address

2961 E Hillside Dr
West Covina, CA 91791-3769
Phone (626) 918-2085

Other identifiers 1

IdentifierTypeStateIssuer
800396315OtherCATAX I D NUMBER

Other names 1

  • Mrs. Cynthia Marie Holmes Professional 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
I20260227000702 CA Practitioner - Marriage and Family Therapist 2466996657 Practice locations: West Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Covina, CA 91790
Phone (626) 221-9555

216 S Citrus St
Suite 196
West Covina, CA 91791-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC45565CAMDMarriage & Family Therapist
45565CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1548385289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 E HILLSIDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913769",
            "telephone_number": "626-918-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CAMERON AVE",
            "address_2": "SUITE 110-5",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902724",
            "telephone_number": "626-221-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I D NUMBER",
            "identifier": "800396315",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HOLMES",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.