Individual provider Active NPI

Cynthia Ann Brosh, LPC, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1902036726
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60074406 Issued in WA
Practice address
10000 NE 7TH Ave Ste 100I
Vancouver, WA 98685-4599
Phone
(360) 571-7133
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60074406 WA Primary
Professional Counselor 101YP2500X C2152 OR

Addresses

Primary practice location

10000 NE 7TH Ave Ste 100I
Vancouver, WA 98685-4599

Mailing address

10000 NE 7TH Ave Ste 100I
Vancouver, WA 98685-4599
Phone (360) 571-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH 60074406WAMDMental Health Counselor
C2152ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1902036726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 NE 7TH AVE STE 100I",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854599",
            "telephone_number": "360-571-7133",
            "fax_number": "360-571-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 NE 7TH AVE STE 100I",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854599",
            "telephone_number": "360-571-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSH",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60074406",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.