CYNTHIA MCDANIEL-JOHANSEN (NPI# 1659608065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659608065 |
| Entity Type | Individual |
| Full Name | CYNTHIA MCDANIEL-JOHANSEN |
| Credential | LPC, PHD |
| Practice Address |
121 Wyatt Dr Ste 7 Las Cruces NM 88005-2960 |
| Mailing Address |
146 Blacktail Deer Ave Las Cruces NM 88007-5220 |
| Practice Telephone | 5755269878 |
| Practice Fax Number | 5755267835 |
| Mailing Telephone | 5755269878 |
| Mailing Fax Number | 5755267835 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0190391 | NM | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
63257 | TX | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LPC LICENSE | 63257 | 01 |
| Street Address |
121 WYATT DR STE 7 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417027137 | Harriet Luckett Vanwyngarden | Counselor | 121 Wyatt Dr Ste 7, Las Cruces, NM 88005-2960 | 2006-11-09 |
| 1790179307 | Crystal Yvonne Contreras | Social Worker | 121 Wyatt Dr Ste 7, Las Cruces, NM 88005-2960 | 2015-03-20 |
| 1356690739 | Silvia V. Martinez | Specialist | 121 Wyatt Dr Ste 7, Las Cruces, NM 88005-2960 | 2012-08-31 |
| 1750698825 | Andrew Luna Trujillo | Social Worker | 121 Wyatt Dr Ste 7, Las Cruces, NM 88005-2960 | 2010-09-09 |
| 1447399258 | Anthony G Decorte | Social Worker | 121 Wyatt Dr Ste 7, Las Cruces, NM 88005-2960 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868882 | Brianna Brush | Counselor | 1945 Amis Ave, Las Cruces, NM 88005-1649 | 2020-07-10 |
| 1831675602 | Matt Charles Ladish | Counselor | 4032 Calle De Estrellas, Las Cruces, NM 88012-7639 | 2018-07-16 |
| 1205280153 | True North Counseling and Wellness Incorporated | Counselor | 1083 9th St, Las Cruces, NM 88005-2306 | 2016-04-18 |
| 1992170294 | Christopher Maurer | Counselor | 1902 Westwind Rd, Las Cruces, NM 88007-5575 | 2015-12-11 |
| 1275938094 | Dawn Rachelle Goodheart | Counselor | 1161 Mall Dr Ste C, Las Cruces, NM 88011-8193 | 2014-10-23 |
| 1912316308 | A Place of Healing LLC | Counselor | 121 Wyatt Dr Ste 5, Las Cruces, NM 88005-2960 | 2014-08-11 |
| 1285055855 | Isabelle Dominguez | Counselor | 1401 N Alameda Blvd, Las Cruces, NM 88005-1725 | 2013-12-26 |
| 1184065708 | Beverly Tenorio | Counselor | 2832 Cloudcroft Cir, Las Cruces, NM 88011-5230 | 2013-07-11 |
| 1255670162 | Rebekah M Martinez | Counselor | 138 W Lucero Ave, Las Cruces, NM 88005-1843 | 2013-02-12 |
| 1649523986 | Robin Taylor Pfaff | Counselor | 3050 N Roadrunner Pkwy Ste A, Las Cruces, NM 88011-0846 | 2012-10-24 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on CYNTHIA MCDANIEL-JOHANSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.