Individual provider Active NPI

Cindy Fischer, MS LCPC LMFT

  • Counselor
  • Rockford, IL
National Provider Identifier
1740320209
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180002009 Issued in IL
Practice address
5301 E State St Ste 202
Rockford, IL 61108-2392
Phone
(815) 282-1800
Fax
(815) 397-9827
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 467124 WI
Marriage & Family Therapist 106H00000X 166000163 IL
Counselor 101Y00000X 180002009 IL Primary

Addresses

Primary practice location

5301 E State St Ste 202
Rockford, IL 61108-2392

Mailing address

5301 E State St Ste 202
Rockford, IL 61108-2392
Phone (815) 282-1800

Other names 1

  • Cynthia Ferri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240528000849 IL Practitioner - Mental Health Counselor 1355783069 Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5301 E State St
Suite 202
Rockford, IL 61108-2392
Phone (815) 282-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
166000163ILMDMarriage & Family Therapist
467124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1740320209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E STATE ST STE 202",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082392",
            "telephone_number": "815-282-1800",
            "fax_number": "815-397-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E STATE ST STE 202",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082392",
            "telephone_number": "815-282-1800",
            "fax_number": "815-397-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "CINDY",
        "name_prefix": "Ms.",
        "credential": "MS LCPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "467124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000163",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180002009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "FERRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.