Cyndi Gamble, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61038 Issued in TX

Practice address

103 Wildlife LN
Lufkin, TX 75904-1615

Phone

(936) 238-3868

Fax

(936) 238-3867

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment
• Pathways Forensic & Mental Health Services, PLLC

  • Mental Health Counselor
  • Lufkin, TX
  • NPI 1063894087

  Single Specialty

  NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861052268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILDLIFE LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041615",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WILDLIFE LN",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041615",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 NW Stallings Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759643405",
            "country_code": "US",
            "telephone_number": "936-238-3868",
            "fax_number": "936-238-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Trailwood Ct",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759044313",
            "country_code": "US",
            "telephone_number": "757-761-0948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "CYNDI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61038",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398178901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "61038",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Myha Fung, D.O.
• Kathryn Fussell, APRN-CNP
• G William Newton MD PA
• Subramanya Vara Prasad Gajaraju Venkata, M.D
• Gangadharam Galla
• Patrick Neill Gammill
• Andrea L Gamse, P.A.
• Garcia Heart Center PLLC
• Andrea Garcia
• Norma Patricia Garcia, LPC

• Professional Counselor in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.