Cyntina Jonae Bagley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004977 Issued in VA

Practice address

214 Bush River Dr
Farmville, VA 23901-3179

Phone

(434) 392-3187

Fax

(434) 392-9221

NPI assigned

Jul 18, 2011

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crossroads Services Board

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1528091063

  Mental Health

  NPD
• Vaught Christian Counseling PC

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1821164583

  Professional

  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1902194418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 248",
            "address_2": "214 BUSH RIVER DRIVE",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-3187",
            "fax_number": "434-392-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-392-3187",
            "fax_number": "434-392-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "CYNTINA",
        "middle_name": "JONAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528091063",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane M Aslanis, DO
• David M. Avance, PA-C
• Shashidharan B Ayer, M.D.
• Haritha Babburi, M.D.
• Back and Neck Center
• Heather Margaret Bailey, MSN, FNP-C
• Stephanie Williamson Bailey, M.A.,CCC-SLP
• Lucas Baker, MS
• Bikram Singh Bal
• Diane Barksdale

• Professional Counselor in Farmville, VA
• Providers in Farmville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.