Cindy Hatfield Fruits, PSY. D, LPC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPC008884 Issued in GA

Practice address

4839 N. Main Street
Acworth, GA 30101

Phone

(770) 547-2070

Fax

(770) 485-9228

NPI assigned

Jul 21, 2016

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

Other names 1

• Dr. Cindy Lea Hatfield Former name

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Cherokee Center for Change Counseling, Inc.Group PAC ID 5698149151, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherokee Center for Change Counseling, Inc.

  • Professional Counselor
  • Woodstock, GA
  • NPI 1073892923
  Medicare reassignment Care Compare group NPD
• Cherokee Center for Change, Inc

  • Professional Counselor
  • Woodstock, GA
  • NPI 1285961466
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1679926950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 N. MAIN STREET",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "770-547-2070",
            "fax_number": "770-485-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 N. MAIN STREET",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "770-547-2070",
            "fax_number": "770-485-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUITS",
        "first_name": "CINDY",
        "middle_name": "HATFIELD",
        "name_prefix": "Dr.",
        "credential": "PSY. D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "LPC008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "HATFIELD",
            "middle_name": "LEA",
            "prefix": "DR.",
            "credential": "PSY. D, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sydney Galvin
• Kathleen Carole Gardner, ARNP
• Stanley Garner

• Psychologist in Acworth, GA
• Providers in Acworth, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.