Individual provider Active NPI

Cindy L Percy, MS, LPC

  • Mental Health Counselor
  • Holbrook, AZ
National Provider Identifier
1679805964
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401001957 Issued in MI
Practice address
455 N 8TH Ave
Holbrook High School
Holbrook, AZ 86025-2334
Phone
(928) 524-2815
Fax
(928) 524-3537
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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 6401001957 MI Primary

Addresses

Primary practice location

455 N 8TH Ave
Holbrook High School
Holbrook, AZ 86025-2334

Mailing address

455 N 8TH Ave
PO Box 640
Holbrook, AZ 86025-2334
Phone (928) 524-2815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6401001957MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1679805964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N 8TH AVE",
            "address_2": "PO BOX 640",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252334",
            "telephone_number": "928-524-2815",
            "fax_number": "928-524-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N 8TH AVE",
            "address_2": "HOLBROOK HIGH SCHOOL",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252334",
            "telephone_number": "928-524-2815",
            "fax_number": "928-524-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY",
        "first_name": "CINDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401001957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.