Active NPI
Cynthia White, MS, LAC
- Addiction (Substance Use Disorder) Counselor
- Palmer Lake, CO
National Provider Identifier
1760998892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACD.0000925
- Practice address
- 443 Highway 105
Palmer Lake, CO 80133-9003 - Phone
- (719) 955-1800
- NPI assigned
- Dec 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000925 | CO | Primary |
Addresses
Primary practice location
443 Highway 105
Palmer Lake, CO 80133-9003
Mailing address
443 Highway 105
Palmer Lake, CO 80133-9003
Phone (719) 955-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472809995 | Other | CO | ADVANCED RECOVERY SYSTEMS, LLC |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0000925 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1760998892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 HIGHWAY 105",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339003",
"telephone_number": "719-955-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 HIGHWAY 105",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339003",
"telephone_number": "719-955-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CYNTHIA",
"credential": "MS, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0000925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED RECOVERY SYSTEMS, LLC",
"identifier": "472809995",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer Lake, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.