Sunstar Mental Health Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUNSTAR MENTAL HEALTH COUNSELING SERVICES PLLC

Practice address

19 Olivia Street
9
Port Chester, NY 10573

Phone

(914) 479-9501

Fax

(914) 481-1617

NPI assigned

Nov 26, 2021

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia WynnNPI 1689731440

Title

Owner/Ceo

Phone

(914) 479-9501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Wynn, PH.D, LMHC, CASAC

  • Mental Health Counselor
  • Port Chester, NY
  • NPI 1689731440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1639836521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLIVIA STREET",
            "address_2": "9",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-479-9501",
            "fax_number": "914-481-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLIVIA STREET",
            "address_2": "9",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-479-9501",
            "fax_number": "914-481-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTAR MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "914-479-9501"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.