Individual provider Active NPI

Cynthia B Desadier, LCSW

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1609932870
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000970A Issued in IN
Practice address
2020 W 86TH St
Suite 305
Indianapolis, IN 46260-1969
Phone
(317) 334-1692
Fax
(317) 334-3693
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1041C0700X IN
Clinical Social Worker 1041C0700X 34001586A IN
Marriage & Family Therapist 106H00000X 35000577A IN
Mental Health Counselor 101YM0800X 39000970A IN Primary

Addresses

Primary practice location

2020 W 86TH St
Suite 305
Indianapolis, IN 46260-1969

Mailing address

4000 W 106TH St # 125-206
Carmel, IN 46032-7720
Phone (317) 334-1693

Other identifiers 1

IdentifierTypeStateIssuer
000000176598OtherINANTHEM ID

Other names 1

  • Cynthia B Bryant Former name

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
1041C0700XINMDMental Health Counselor
39000970AINMDMental Health Counselor
34001586AINMDClinical Social Worker
35000577AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive OBGYN Inc Past 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1609932870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 106TH ST # 125-206",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327720",
            "telephone_number": "317-334-1693",
            "fax_number": "317-993-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 86TH ST",
            "address_2": "SUITE 305",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601969",
            "telephone_number": "317-334-1692",
            "fax_number": "317-334-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESADIER",
        "first_name": "CYNTHIA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "1041C0700X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001586A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000577A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000970A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000176598",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BRYANT",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.