Cynthia Jean Christian, MA
Individual provider Active NPI Mental Health Counselor · West Yarmouth, MA
NPI 1659500064 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1659500064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 9263 (MA)
- Practice address
- 10 Boston Ave
West Yarmouth, MA 02673-8568 - Phone
- (603) 490-6522
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10 Boston Ave
West Yarmouth, MA 02673-8568
Phone (603) 490-6522
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401001152 | MA | Practitioner - Mental Health Counselor | 6103264817 | Practice locations: West Yarmouth, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9263 | MA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Council of Nashua NH, Inc. | Past |
Accepting new patients | |
| Community Council of Nashua NH | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 9263 | MA | Yes |
Addresses
Primary practice location
10 Boston Ave
West Yarmouth, MA 02673-8568
Mailing address
10 Boston Ave
West Yarmouth, MA 02673-8568
Phone (603) 490-6522
Other providers in West Yarmouth, MA
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- Steven Caradimos
- Taylor Hilst Cardelli
- Margaret M Carra
- Audrey S Chan
- Lucan Colquhoun
- Cecily Conway
- Karen Ann Corcoran
- Patricia Coughlin
- Sarah Cozzens
All providers in West Yarmouth, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.