Cynthia McDaniel-Johansen, LPC, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0190391 Issued in NM

Practice address

121 Wyatt Dr Ste 7
Las Cruces, NM 88005-2960

Phone

(575) 526-9878

Fax

(575) 526-7835

NPI assigned

Nov 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1659608065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BLACKTAIL DEER AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075220",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WYATT DR STE 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052960",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL-JOHANSEN",
        "first_name": "CYNTHIA",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63257",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0190391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LPC LICENSE",
            "identifier": "63257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie Bert McCorvey Jr., CRNA
• Esmeralda McCowan, CASE MANAGER
• Charles McCray III
• Melissa McCray
• Allison McCullar Gomez
• Anne Marie McDonagh, RN
• Amanda McDowell
• Angela McDowell
• Ralph Edward McElmurry Jr., D.D.S.
• Laura McElroy, LCSW

• Professional Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.