Individual provider Active NPI

Cynthia Lorrayne Lane Prather, MSED.

  • Mental Health Counselor
  • Sioux City, IA
National Provider Identifier
1699945246
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2533 Issued in NE
Practice address
3320 W 4TH St
Sioux City, IA 51103-3200
Phone
(712) 202-0777
Fax
(712) 202-0780
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5572 NE
Mental Health Counselor 101YM0800X 001346 IA
Mental Health Counselor 101YM0800X 2533 NE Primary

Addresses

Primary practice location

3320 W 4TH St
Sioux City, IA 51103-3200

Mailing address

1201 Arbor Dr.
South Sioux City, NE 68776-2652
Phone (402) 494-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240103000127 NE Practitioner - Mental Health Counselor 8325498330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone 4024943337112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001346IAMDMental Health Counselor
5572NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Services.Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heartland Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

938 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900

221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800

1201 Arbor Dr
South Sioux City, NE 68776

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1699945246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DR.",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762652",
            "telephone_number": "402-494-3337",
            "fax_number": "402-494-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033200",
            "telephone_number": "712-202-0777",
            "fax_number": "712-202-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "CYNTHIA",
        "middle_name": "LORRAYNE LANE",
        "credential": "MSED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5572",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001346",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.