Individual provider Active NPI

Cynthia Artz, BS, LADC

  • Addiction (Substance Use Disorder) Counselor
  • North Branch, MN
National Provider Identifier
1699230730
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
304267 Issued in MN
Practice address
5842 Old Main St Ste 2
North Branch, MN 55056-6698
Phone
(651) 401-3073
NPI assigned
Feb 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304267 MN Primary

Addresses

Primary practice location

5842 Old Main St Ste 2
North Branch, MN 55056-6698

Mailing address

22050 Evergreen St NW
Oak Grove, MN 55011-4817
Phone (763) 567-1775

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
304267MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1699230730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22050 EVERGREEN ST NW",
            "city": "OAK GROVE",
            "state": "MN",
            "postal_code": "550114817",
            "telephone_number": "763-567-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 OLD MAIN ST STE 2",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566698",
            "telephone_number": "651-401-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTZ",
        "first_name": "CYNTHIA",
        "credential": "BS, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.