Cynthia Mansur, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51119 Issued in CA

Practice address

3468 Mt Diablo Blvd
Suite B201
Lafayette, CA 94549-3957

Phone

(510) 508-2169

Fax

(925) 284-1599

NPI assigned

Jan 27, 2007

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1649326885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "510-508-2169",
            "fax_number": "925-284-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "CYNTHIA",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace M. Malonai, PHD, LPCC
• Michael H Malone, M.D.
• Tiffany Mancillas
• Janice E Manjuck, M.D.
• Srijanani Manohar, DMD
• Emma Suzanne Marchant, PT
• Lee Riskin Marchesani, LMFT
• Steven Joseph Marcinkowski
• Mark David Levine, a Professional Corp (Community Psychiatry Associates)
• Mark F. Swimmer DDS Inc.

• Marriage & Family Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.