Active NPI
Cynthia Wallace, LMHC
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1700199338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00010878
- Practice address
- 1445 Spaulding Park
Richland, WA 99352-4715 - Phone
- (509) 420-0423
- Fax
- (509) 420-0424
- NPI assigned
- Jul 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | LH00010878 | WA | Primary |
Addresses
Primary practice location
1445 Spaulding Park
Richland, WA 99352-4715
Mailing address
1445 Spaulding Park
Richland, WA 99352-4715
Phone (509) 420-0423
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010878 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280016000000",
"number": "1700199338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 SPAULDING PARK",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524715",
"telephone_number": "509-420-0423",
"fax_number": "509-420-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 SPAULDING PARK",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524715",
"telephone_number": "509-420-0423",
"fax_number": "509-420-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "CYNTHIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-25",
"last_updated": "2010-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00010878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.