Individual provider Active NPI

Cynthia Wallace, LMHC

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1700199338
Registry record updated Jul 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010878 Issued in WA
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

Updated by the provider on Jul 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LH00010878WAMDMental 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.

Verify at the official NPI Registry.