Cynthia Stober, LCMHC,LCAS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14758 Issued in NC

Practice address

20180 SE 43Rd St
Harrah, OK 73045-6147

Phone

(919) 798-3262

NPI assigned

Mar 20, 2007

Last updated

Mar 6, 2024By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment NPD
• Fellowship Health Resources, Inc

  dba Elwyn Adult Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1952426686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20180 SE 43RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456147",
            "telephone_number": "919-798-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 SE 43RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456147",
            "telephone_number": "919-798-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBER",
        "first_name": "CYNTHIA",
        "credential": "LCMHC,LCAS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14758",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "14758",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCAS",
            "identifier": "25470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sage Primary Health PLLC
• Saint Medical Group, LLC (SSM Health Harrah Ambulatory Care)
• Carly Rae Scallorn, PTA
• Alisha Brooke Smith, APRN-CNP
• Trisha Dawn Stevens
• Jennifer Swank, COTA
• Suzanne Tarver
• The Family Care Center of Harrah, Inc.
• The Office of Counseling Services
• Jacob Charles Thomas

• Mental Health Counselor in Harrah, OK
• Providers in Harrah, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.