Cynthia Mary Biskner, LMFT
Individual provider Active NPI Marriage & Family Therapist · South Bend, IN
NPI 1821169418 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1821169418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 17195 Cleveland Rd
South Bend, IN 46635-1415 - Phone
- (742) 770-2745
- Fax
- (574) 271-7202
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17195 Cleveland Rd
South Bend, IN 46635-1415
748 Sunflower LN
Dyer, IN 46311-1086
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260507002600 | IN | Practitioner - Marriage and Family Therapist | 0446728414 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001627A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Family Health and Counseling Center, Inc. | Current |
Accepting new patients | |
| South Bend Mental Health Associates, PC | Past | Accepting new patients | |
| Lincoln Counseling, PC | Mental Health | Past | Accepting new patients |
Locations
17195 Cleveland Rd
South Bend, IN 46635
Phone (574) 277-0274
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | ||
| Mental Health Counselor | 101YM0800X | 35001627A | IN |
Addresses
Primary practice location
17195 Cleveland Rd
South Bend, IN 46635-1415
Mailing address
17195 Cleveland Rd
South Bend, IN 46635-1415
Phone (574) 277-0274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000500774 | Other | IN | ANTHEM |
| 200475040 | Medicaid | IN |
Other providers in South Bend, IN
- Alex F Bikowski
- Gregory George Bingaman
- Jacqueline W Bingham
- La Tangela Bird
- Alan J Birnbaum
- Cassondra Bjella
- Freda Ann Black
- Heather Blackford
- Alisha Blackwell
- Randal D Bladel
All providers in South Bend, IN · Marriage & Family Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.