Active NPI
Cindy L Percy, MS, LPC
- Mental Health Counselor
- Holbrook, AZ
National Provider Identifier
1679805964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401001957
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401001957 | MI | MD | Mental 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.