Individual provider Active NPI

Cynthia Elizabeth Stewart, MA

  • Mental Health Counselor
  • Hebron, KY
National Provider Identifier
1770630808
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2059 Woodmere CT
Hebron, KY 41048-8748
Phone
(859) 242-0702
Fax
(859) 242-0702
NPI assigned
Jan 4, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X KY Primary

Addresses

Primary practice location

2059 Woodmere CT
Hebron, KY 41048-8748

Mailing address

2059 Woodmere CT
Hebron, KY 41048-8748
Phone (859) 242-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NJ, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20251202001302 MO Practitioner - Mental Health Counselor 5799278487 Reassigns benefits to 1 organization
I20251204004053 NJ Practitioner - Mental Health Counselor 5799278487 Reassigns benefits to 1 organization
I20251205002645 KY Practitioner - Mental Health Counselor 5799278487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 28, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 4, 2025 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1770630808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 WOODMERE CT",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488748",
            "telephone_number": "859-242-0702",
            "fax_number": "859-242-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 WOODMERE CT",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488748",
            "telephone_number": "859-242-0702",
            "fax_number": "859-242-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

Verify at the official NPI Registry.