Cynthia A Hataway, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

897 Issued in AL

Practice address

301 Andrews Ave
Suite T-125
Fort Rucker, AL 36362-5333

Phone

(334) 255-7797

Fax

(334) 255-7923

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1831308717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 COUNTY ROAD 452",
            "city": "KINSTON",
            "state": "AL",
            "postal_code": "364534536",
            "telephone_number": "334-565-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "address_2": "SUITE T-125",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7797",
            "fax_number": "334-255-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAWAY",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH BASIC",
            "identifier": "62-20338",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PLUS",
            "identifier": "62-30338",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cissy Pugh Harcus, LPN
• Benny Frank Harrell, CRNP
• Crystal Harris, NREMT-B
• Ian Harris, MSA
• Jamal Harrison, PM SPECIALIST
• Dennis Lee Hatcher, PARAMEDIC
• Dewayne Carl Haverstick, NREMTP
• Emily Elizabeth Hawker, MD
• Crystal Hawkins, DIET TECH
• Barbara Hayes, LPN

• Mental Health Counselor in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.