Cynthia Tremblay, COTA L, QMRP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

408 E Vine St
Vienna, IL 62995-1612

Phone

(618) 658-2611

Fax

(618) 658-2501

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Counseling Center

  • Community/Behavioral Health Agency
  • Vienna, IL
  • NPI 1356726707
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700925237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 OGILVIE AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016764",
            "telephone_number": "270-534-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611",
            "fax_number": "618-658-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "CYNTHIA",
        "credential": "COTA L, QMRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brantley Stricker, PT, DPT
• Shay Lynn Swan, MS QMHP
• Dena C Taylor, NP-C
• Darlene R Terbrak, M.S.
• Ashley Thomas, BSW MHP
• Gregory Allen Turner, MSW, QMHP
• Marisa Varney, MS QMHP
• Kimberly C. Veach, COTA/L
• Zachary Veinotte, BSW
• Vienna High School

• Mental Health Counselor in Vienna, IL
• Providers in Vienna, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.