Individual provider Active NPI

Cynthia Lee Wright, LPCMH

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1801930946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000172 Issued in DE
Practice address
262 Chapman Rd
Bellevue Building Suite 100
Newark, DE 19702-5448
Phone
(302) 292-0888
Fax
(302) 292-0889
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC-0000172 DE Primary

Addresses

Primary practice location

262 Chapman Rd
Bellevue Building Suite 100
Newark, DE 19702-5448

Mailing address

4311 Verona Dr
Wilmington, DE 19808-5619
Phone (302) 999-8646

Other identifiers 3

IdentifierTypeStateIssuer
234581OtherDECOMPSYCH
7035494OtherDEAETNA
205933LPCOtherDEBLUECROSSBLUESHIELD

Other names 1

  • Ms. Cynthia Lee Moulton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240301000520 DE Practitioner - Mental Health Counselor 9739524604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 Shallcross Ave
Suite 1a
Wilmington, DE 19806-3037
Phone (302) 407-2457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0000172DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia L Wright, Lpcmh, LLC Mental Health CurrentSince Jan 10, 2024 Accepting new patients

Locations

1500 Shallcross Ave
Ste 1A
Wilmington, DE 19806
Phone (302) 407-2457

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.cindywright@148542.advancedmd-direct.com

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801930946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 VERONA DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085619",
            "telephone_number": "302-999-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHAPMAN RD",
            "address_2": "BELLEVUE BUILDING SUITE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025448",
            "telephone_number": "302-292-0888",
            "fax_number": "302-292-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "234581",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7035494",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "205933LPC",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MOULTON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.