Individual provider Active NPI

Cynthia Lea Minto

  • Mental Health Counselor
  • Colonial Heights, VA
National Provider Identifier
1619261286
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701005982 Issued in VA
Practice address
3600 Hemlock Ave
Colonial Heights, VA 23834-1328
Phone
(804) 931-1182
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701005982 VA Primary

Addresses

Primary practice location

3600 Hemlock Ave
Colonial Heights, VA 23834-1328

Mailing address

14525 Woodleigh Dr
Chester, VA 23831-6587
Phone (804) 748-6401

Other practice location 1

14525 Woodleigh Dr
Chester, VA 23831-6587
Phone (804) 748-6401

Other identifiers 1

IdentifierTypeStateIssuer
160MedicaidVA

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
0701005982VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Journey, LLC CurrentSince Sep 20, 2020 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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1619261286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 WOODLEIGH DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316587",
            "telephone_number": "804-748-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HEMLOCK AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341328",
            "telephone_number": "804-931-1182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14525 Woodleigh Dr",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238316587",
            "country_code": "US",
            "telephone_number": "804-748-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTO",
        "first_name": "CYNTHIA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.