Cynthia Rene'a King-Harris, M.S.,L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001737A Issued in IN

Practice address

3603 E Jefferson Blvd
South Bend, IN 46615-3035

Phone

(574) 298-8931

NPI assigned

Jan 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1912144213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6122",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466606122",
            "telephone_number": "574-298-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153035",
            "telephone_number": "574-298-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-HARRIS",
        "first_name": "CYNTHIA",
        "middle_name": "RENE'A",
        "name_prefix": "Mrs.",
        "credential": "M.S.,L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001737A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33001862A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Kimani
• Jack McIntyre Kimmell
• Samuel Joseph Kimmell, DO
• Sara Lynn Kinas, RBT
• Jessica A Kindig, LMHC
• Adriana King
• Alyssa Rose King
• Olivia King
• Olivia Mackenzie King, PA
• Robert Bruce King, MD

• Mental Health Counselor in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.