Cynthia B Wanberg, MED,NCC,LMHC #8966

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8966 Issued in FL

Practice address

13 Camino Real
Howey in the Hills, FL 34737-3140

Phone

(352) 638-2873

NPI assigned

Apr 11, 2007

Reactivated

Mar 17, 2009

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shining Light CounselingGroup PAC ID 2163855651, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shining Light Counseling

  • Mental Health Counselor
  • Eustis, FL
  • NPI 1629433297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1942423686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CAMINO REAL",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373140",
            "telephone_number": "352-324-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CAMINO REAL",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373140",
            "telephone_number": "352-638-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANBERG",
        "first_name": "CYNTHIA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MED,NCC,LMHC #8966",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-09-09",
        "deactivation_date": "2008-08-12",
        "reactivation_date": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Swieboda, MSN, APRN, AGPC
• William Teese, LCSW
• Unique Niche LLC
• V&G Personal Health Care Group, Inc
• Jorge L. Vazquez
• Barbara C Zhuchkan, M.S., CCC-SLP

• Mental Health Counselor in Howey in the Hills, FL
• Providers in Howey in the Hills, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.