Individual provider Active NPI

Cindy Wickman-Failing, M.A., L.P.C.

  • Professional Counselor
  • Madison, AL
National Provider Identifier
1952670283
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3357 Issued in AL
Practice address
107 Hardin Oak Dr
Madison, AL 35756-3967
Phone
(248) 252-1683
NPI assigned
Dec 15, 2011
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3357 AL Primary

Addresses

Primary practice location

107 Hardin Oak Dr
Madison, AL 35756-3967

Mailing address

107 Hardin Oak Dr
Madison, AL 35756-3967
Phone (248) 252-1683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240516003795 AL Practitioner - Mental Health Counselor 6901247246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Hardin Oak Dr
Madison, AL 35756-3967
Phone (256) 479-1816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3357ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Counseling Services, LLC CurrentSince Mar 7, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1952670283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HARDIN OAK DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357563967",
            "telephone_number": "248-252-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HARDIN OAK DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357563967",
            "telephone_number": "248-252-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKMAN-FAILING",
        "first_name": "CINDY",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.