Active NPI
Heather Marie Cassella, LPC
- Counselor
- Branford, CT
National Provider Identifier
1033679014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 003390
- Practice address
- 21 Indian Woods Rd
Branford, CT 06405-3911 - Phone
- (203) 815-7838
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 003390 | CT | Primary |
Addresses
Primary practice location
21 Indian Woods Rd
Branford, CT 06405-3911
Mailing address
149 Durham Rd
Madison, CT 06443-2677
Phone (203) 779-9434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1912489 | Other | CT | ARTISTIC HEALINGS |
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 |
|---|---|---|---|
| 003390 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1033679014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 DURHAM RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432677",
"telephone_number": "203-779-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 INDIAN WOODS RD",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053911",
"telephone_number": "203-815-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELLA",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "003390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARTISTIC HEALINGS",
"identifier": "83-1912489",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.