Individual provider Active NPI

Cynthia Hrdlichka, LPC P2306026

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1841899986
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P2306026 Issued in AR
Practice address
221 N East Ave Ste 104
Fayetteville, AR 72701-5226
Phone
(479) 549-7295
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 P2306026 AR Primary

Addresses

Primary practice location

221 N East Ave Ste 104
Fayetteville, AR 72701-5226

Mailing address

608 N Rockcliff Rd
Fayetteville, AR 72701-3814
Phone (501) 232-3058

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

State licenses

LicenseStateTypeSpecialty
P2306026ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1841899986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N ROCKCLIFF RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013814",
            "telephone_number": "501-232-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N EAST AVE STE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015226",
            "telephone_number": "479-549-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRDLICHKA",
        "first_name": "CYNTHIA",
        "credential": "LPC P2306026",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2306026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.