Active NPI
Lynne B Cundiff, L.P.A.T.
- Mental Health Counselor
- La Grange, KY
National Provider Identifier
1982847570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0012
- Practice address
- 206 W Jefferson St
La Grange, KY 40031-1110 - Phone
- (502) 396-8456
- NPI assigned
- Apr 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0012 | KY | Primary |
Addresses
Primary practice location
206 W Jefferson St
La Grange, KY 40031-1110
Mailing address
206 W Jefferson St
La Grange, KY 40031-1110
Phone (502) 396-8456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239494400000",
"number": "1982847570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W JEFFERSON ST",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400311110",
"telephone_number": "502-396-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W JEFFERSON ST",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400311110",
"telephone_number": "502-396-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDIFF",
"first_name": "LYNNE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "L.P.A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-12",
"last_updated": "2009-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.