Individual provider Active NPI

Cynthia Ann Edins

  • Professional Counselor
  • Danielsville, GA
National Provider Identifier
1710177241
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006772 Issued in GA
Practice address
1591 James Adams Rd
Danielsville, GA 30633-2529
Phone
(706) 795-0058
NPI assigned
Jul 31, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006772 GA Primary
Psychologist 103T00000X NU
Adult Development & Aging Psychologist 103TA0700X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1591 James Adams Rd
Danielsville, GA 30633-2529

Mailing address

1591 James Adams Rd
Danielsville, GA 30633-2529
Phone (706) 795-0058

Other practice location 1

745 S Milledge Ave Ste 1A
Athens, GA 30605-1292
Phone (706) 498-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240222003258 GA Practitioner - Mental Health Counselor 5890139315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Danielsville, GA 30633
Phone (706) 795-0058

745 S Millage Ave
Suite a
Athens, GA 30605
Phone (470) 795-7681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garden of Eden Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Jan 10, 2024 Accepting new patients
Sierra's Center, LTD. Community/Behavioral Health Past Accepting new patients

Locations

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.cynthiaedins@124220.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1710177241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 JAMES ADAMS RD",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306332529",
            "telephone_number": "706-795-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 JAMES ADAMS RD",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306332529",
            "telephone_number": "706-795-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 S Milledge Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306051292",
            "country_code": "US",
            "telephone_number": "706-498-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDINS",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006772",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielsville, GA

Sources for this page

Verify at the official NPI Registry.