Individual provider Active NPI

Cynthia Louise Hanson, PH.D.

  • Counseling Psychologist
  • Richmond, KY
National Provider Identifier
1609269604
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
129217 Issued in KY
Practice address
1421 Lexington Rd
Richmond, KY 40475-1059
Phone
(859) 624-2454
Fax
(859) 624-2454
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X KY-1011 KY
Counseling Psychologist 103TC1900X 129217 KY Primary

Addresses

Primary practice location

1421 Lexington Rd
Richmond, KY 40475-1059

Mailing address

1421 Lexington Rd
Richmond, KY 40475-1059
Phone (859) 624-2454

Other identifiers 1

IdentifierTypeStateIssuer
000000942006OtherANTHEM PIN

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
KY-1011KYMDCounseling Psychologist
1011KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpsi: School Psychological Services, PLLC PastSince Dec 1, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1609269604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LEXINGTON RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751059",
            "telephone_number": "859-624-2454",
            "fax_number": "859-624-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LEXINGTON RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751059",
            "telephone_number": "859-624-2454",
            "fax_number": "859-624-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "KY-1011",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "129217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000942006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.