Individual provider Active NPI

Cynthia Lois Stuart-White, M.A., LPCC, LPAT

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1770631806
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0173561 Issued in NM
Practice address
7312 Arvada Ave NE
Albuquerque, NM 87110-4513
Phone
(505) 385-8305
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0068162 NM
School Counselor 101YS0200X 258843 NM
Art Therapist 221700000X CAT0068162 NM
Professional Counselor 101YP2500X CCMH0173561 NM Primary

Addresses

Primary practice location

7312 Arvada Ave NE
Albuquerque, NM 87110-4513

Mailing address

11024 Montgomery Blvd NE # 105
Albuquerque, NM 87111-3962
Phone (505) 385-8305

Other practice location 1

2809 Sabina St NE
Albuquerque, NM 87112-2086
Phone (505) 237-9355

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 Arts

State licenses

LicenseStateTypeSpecialty
0068162NMMDCounselor
CCMH0173561NMMDProfessional Counselor
258843NMMDSchool Counselor
CAT0068162NMMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Resources LLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

11024 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 332-8070

11005 Spain Rd NE
Ste 13
Albuquerque, NM 87111

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1770631806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MONTGOMERY BLVD NE # 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113962",
            "telephone_number": "505-385-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 ARVADA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104513",
            "telephone_number": "505-385-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 Sabina St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871122086",
            "country_code": "US",
            "telephone_number": "505-237-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART-WHITE",
        "first_name": "CYNTHIA",
        "middle_name": "LOIS",
        "credential": "M.A., LPCC, LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0068162",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NM",
            "license": "258843",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NM",
            "license": "CAT0068162",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0173561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.