Individual provider Active NPI

Cynthia Arlene Granado, MED, LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1750092060
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84056 Issued in TX
Practice address
1616 N Jackson Rd
Edinburg, TX 78541-8868
Phone
(956) 655-5181
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 84056 TX Primary

Addresses

Primary practice location

1616 N Jackson Rd
Edinburg, TX 78541-8868

Mailing address

1616 N Jackson Rd
Edinburg, TX 78541-8868

Other identifiers 1

IdentifierTypeStateIssuer
84056OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.granado@cerebral.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240109004463 TX Practitioner - Mental Health Counselor 9638520158 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Healing Counseling Services, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

5319 S McColl Rd
Edinburg, TX 78539
Phone (956) 277-9489

713 E Esperanza Ave
Ste B
McAllen, TX 78501
Phone (956) 413-7000

709 E Esperanza Ave
McAllen, TX 78501
Phone (956) 322-8845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1750092060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785418868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785418868",
            "telephone_number": "956-655-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADO",
        "first_name": "CYNTHIA",
        "middle_name": "ARLENE",
        "name_prefix": "Ms.",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "84056",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.granado@cerebral.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "1616 N Jackson Rd",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785418868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.