Individual provider Active NPI

Cynthia Conroy

  • Mental Health Counselor
  • Jupiter, FL
National Provider Identifier
1609233717
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11270 Issued in FL
Practice address
6650 W Indiantown Rd Ste 220
Jupiter, FL 33458-4629
Phone
(561) 385-1852
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH11270 FL
Professional Counselor 101YP2500X LMHC11270 FL
Mental Health Counselor 101YM0800X MH11270 FL Primary

Addresses

Primary practice location

6650 W Indiantown Rd Ste 220
Jupiter, FL 33458-4629

Mailing address

242 Palmetto CT
Jupiter, FL 33458-8802
Phone (561) 385-1852

Other practice location 1

300 Prosperity Farms Rd
North Palm Beach, FL 33408-5002
Phone (561) 249-7761

Other identifiers 3

IdentifierTypeStateIssuer
802517OtherFLICADC
ADC0003828014OtherFLCAP
MH11270OtherFLLMHC

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
MH11270FLMDAddiction (Substance Use Disorder) Counselor
LMHC11270FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1609233717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PALMETTO CT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588802",
            "telephone_number": "561-385-1852",
            "fax_number": "561-249-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD STE 220",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584629",
            "telephone_number": "561-385-1852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Prosperity Farms Rd",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334085002",
            "country_code": "US",
            "telephone_number": "561-249-7761",
            "fax_number": "561-249-6375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONROY",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH11270",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "LMHC11270",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICADC",
            "identifier": "802517",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "ADC0003828014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH11270",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.