Individual provider Active NPI

Cindy Falor, LMHC,CAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1649290032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2361 Issued in FL
Practice address
3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220
Phone
(904) 419-6102
Fax
(904) 739-2153
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH2361 FL Primary

Addresses

Primary practice location

3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220

Mailing address

3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220
Phone (904) 419-6102

Other identifiers 2

IdentifierTypeStateIssuer
4207131OtherFLAETNA
Z4174OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240815003517 FL Practitioner - Mental Health Counselor 3375081730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthroughs Counseling and Recovery IncGroup PAC ID 6305063678, 3 clinicians

Practice addresses (Care Compare)

3810 -3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220
Phone (904) 419-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH2361FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthroughs Counseling & Recovery Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Breakthroughs Counseling and Recovery Inc. Mental Health PastSince Jul 1, 2024 Accepting new patients

Locations

3810 Williamsburg Park Blvd
Ste 3
Jacksonville, FL 32257
Phone (904) 419-6102

3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257
Phone (904) 419-6102

3810-3 Williamsburg Park Blvd
#B
Jacksonville, FL 32257
Phone (904) 419-6102

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649290032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810-3 WILLIAMSBURG PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579220",
            "telephone_number": "904-419-6102",
            "fax_number": "904-739-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810-3 WILLIAMSBURG PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579220",
            "telephone_number": "904-419-6102",
            "fax_number": "904-739-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALOR",
        "first_name": "CINDY",
        "credential": "LMHC,CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4207131",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Z4174",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.