Individual provider Active NPI

Cristy Sue Cubitt, M.A., LLPC

  • Counselor
  • Port Huron, MI
National Provider Identifier
1902132400
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011605 Issued in MI
Practice address
1001 Military St
Port Huron, MI 48060-5416
Phone
(810) 985-5168
NPI assigned
Oct 19, 2009
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011605 MI Primary

Addresses

Primary practice location

1001 Military St
Port Huron, MI 48060-5416

Mailing address

1001 Military St
Port Huron, MI 48060-5416
Phone (810) 985-5168

Other identifiers 1

IdentifierTypeStateIssuer
382230613OtherMIFIN

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011605MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Counselor Past Accepting new patients

Organizations & group practices 1

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1902132400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-985-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-985-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBITT",
        "first_name": "CRISTY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "M.A., LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIN",
            "identifier": "382230613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.