Individual provider Active NPI

Cynthia Wall Little, LCMHCA

  • Professional Counselor
  • Rockingham, NC
National Provider Identifier
1629325048
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A16441 Issued in NC
Practice address
523 N US Highway 1
Rockingham, NC 28379-7771
Phone
(910) 895-2462
Fax
(910) 895-9896
NPI assigned
Aug 6, 2012
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A16441 NC Primary

Addresses

Primary practice location

523 N US Highway 1
Rockingham, NC 28379-7771

Mailing address

284 Executive Park Dr
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1100

Other practice location 1

205 Memorial Dr
Pinehurst, NC 28374-8712
Phone (910) 295-6853

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
I20240312000580 NC Practitioner - Mental Health Counselor 7517303696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

523 N US Hwy 1
Rockingham, NC 28379-7771
Phone (910) 895-2462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16441NCMDProfessional Counselor
16441NCMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450

205 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-2040

523 N US Highway 1
Rockingham, NC 28379
Phone (910) 719-4320

523 N US Highway 1
Ste A
Rockingham, NC 28379
Phone (910) 719-4335

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Interoperability endpoints

  • Direct secure messaging: cynthia.little.p1@direct.daymarkrecovery.nextgenshare.com

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1629325048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251894",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N US HIGHWAY 1",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283797771",
            "telephone_number": "910-895-2462",
            "fax_number": "910-895-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748712",
            "country_code": "US",
            "telephone_number": "910-295-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "CYNTHIA",
        "middle_name": "WALL",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A16441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.