Cassandra L Fanelli

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8027-125 Issued in WI

Practice address

300 4TH St N
La Crosse, WI 54601-3228

Phone

(608) 784-4357

Fax

(608) 785-6122

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cassandra L Ross Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

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 and National Provider Directory roles.

• County of la Crosse

  • Community/Behavioral Health Agency
  • La Crosse, WI
  • NPI 1366508897
  Medicare reassignment NPD
• County of la Crosse

  • Primary Care Clinic/Center
  • La Crosse, WI
  • NPI 1538165766
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1043813470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 4TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013228",
            "telephone_number": "608-784-4357",
            "fax_number": "608-785-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 4TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013228",
            "telephone_number": "608-784-4357",
            "fax_number": "608-785-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8027-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ROSS",
            "middle_name": "L",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family & Children'S Center, Inc
• Family & Children'S Center, Inc
• Family & Children'S Center, Inc.
• Family Medical Supply and Cpap Store Inc
• Family Vision Center of la Crosse
• Lori Ann Fanello, B.S.N.
• Fannin Counseling & Art Therapy
• Melissa Fannin, LPC
• Harry Franklin Farb, M.D.
• Brianna Dorriss Farley, NP

• Mental Health Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.