Individual provider Active NPI

Cynthia R. Palmer, LMFT

  • Marriage & Family Therapist
  • High Point, NC
National Provider Identifier
1568494656
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
882 Issued in NC
Practice address
3929 Tinsley Dr Ste 104
High Point, NC 27265-1531
Phone
(336) 841-4307
Fax
(336) 841-7267
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 882 NC Primary

Addresses

Primary practice location

3929 Tinsley Dr Ste 104
High Point, NC 27265-1531

Mailing address

3929 Tinsley Dr Ste 104
High Point, NC 27265-1531
Phone (336) 841-4307

Other identifiers 5

IdentifierTypeStateIssuer
533372-000OtherNCMAGELLAN BH
188814OtherNCMEDCOST
2138098OtherNCCIGNA
6105085MedicaidNC
133RTOtherNCBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240213003429 NC Practitioner - Marriage and Family Therapist 3971686338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Holistic Healing PCGroup PAC ID 7911922141, 9 clinicians

Practice addresses (Care Compare)

3929 Tinsley Dr
Suite 104
High Point, NC 27265-1531
Phone (336) 841-4307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
882NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Healing PC Marriage & Family Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

3929 Tinsley Dr
Ste 104
High Point, NC 27265
Phone (336) 841-3226

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1568494656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "telephone_number": "336-841-4307",
            "fax_number": "336-841-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "telephone_number": "336-841-4307",
            "fax_number": "336-841-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CYNTHIA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BH",
            "identifier": "533372-000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "188814",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2138098",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105085",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "133RT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.