Active NPI
Cassidy Short Hafley
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1083185672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC006105
- Practice address
- 120 E Trinity PL
Decatur, GA 30030-3302 - Phone
- (404) 378-2300
- NPI assigned
- Dec 8, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC006105 | GA | Primary |
Addresses
Primary practice location
120 E Trinity PL
Decatur, GA 30030-3302
Mailing address
172 Berlin CT
Athens, GA 30601-2282
Phone (216) 924-0847
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 |
|---|---|---|---|
| APC006105 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1083185672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 BERLIN CT",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012282",
"telephone_number": "216-924-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E TRINITY PL",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303302",
"telephone_number": "404-378-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT HAFLEY",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-08",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC006105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.