Licyn Mental Health Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LICYN MENTAL HEALTH COUNSELING

Practice address

15 Midstate Dr Ste 204
Auburn, MA 01501-1856

Phone

(718) 614-1921

Fax

(508) 456-8253

NPI assigned

Dec 20, 2020

Last updated

Dec 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Cordero-Walton, LMHCNPI 1629265244

Title

LMHC

Phone

(718) 614-1921

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Cordero-Walton, LMHC

  • Mental Health Counselor
  • Auburn, MA
  • NPI 1629265244
  NPD Authorized official
• Glenda Lee Anderson, MA, LMHC

  • Mental Health Counselor
  • Auburn, MA
  • NPI 1881739951
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1912593344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MIDSTATE DR STE 204",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011856",
            "telephone_number": "718-614-1921",
            "fax_number": "508-456-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MIDSTATE DR STE 204",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011856",
            "telephone_number": "718-614-1921",
            "fax_number": "508-456-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICYN MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "CORDERO-WALTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "718-614-1921",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lee, DDS
• Daniel Leinweber, LICSW
• Ashley Ann Leiton, LCSW
• Stacy Lynn Lepage
• Elizabeth Levens, MSOTR/L
• Life Choice Hospice of Western Massachusetts LLC
• Life Choice Hospice of Western Massachusetts LLC (Compassus - Greater Western Massachusetts)
• Rabia Bajwa Lindstrom, PA-C
• Litany Homecare LLC
• Live Your Life Healthcare LLC

• Mental Health Counselor in Auburn, MA
• Providers in Auburn, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.