Individual provider Active NPI

Cynthia Jo Homel-Stoerchle, LMFT

  • Marriage & Family Therapist
  • Oakwood, GA
National Provider Identifier
1891155172
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001453 Issued in GA
Practice address
4810 McEver Rd
Oakwood, GA 30566
Phone
(678) 971-4177
Fax
(678) 971-4185
NPI assigned
Mar 1, 2016
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001453 GA
Marriage & Family Therapist 106H00000X MFT001453 GA Primary

Addresses

Primary practice location

4810 McEver Rd
Oakwood, GA 30566

Mailing address

4623 Summerview Dr
Gainesville, GA 30504-9281
Phone (805) 490-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240502003292 GA Practitioner - Marriage and Family Therapist 8729428057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Point Lighthouse Counseling, LLCGroup PAC ID 6002256567, 2 clinicians

Practice addresses (Care Compare)

4810 McEver Rd
Oakwood, GA 30566-2600
Phone (678) 971-4177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001453GAMDMarriage & Family Therapist
MFT001453GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Lighthouse Counseling, LLC CurrentSince Sep 18, 2022 Accepting new patients
Center Point Ga, Inc. PastSince Aug 29, 2015 Accepting new patients

Locations

4810 McEver Rd
Oakwood, GA 30566
Phone (678) 971-4177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1891155172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 SUMMERVIEW DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305049281",
            "telephone_number": "805-490-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 MCEVER RD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "30566",
            "telephone_number": "678-971-4177",
            "fax_number": "678-971-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMEL-STOERCHLE",
        "first_name": "CYNTHIA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001453",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, GA

Sources for this page

Verify at the official NPI Registry.