Clarissa A Caskey, MA, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13225 Issued in NC

Practice address

7472 Waterside Loop Rd
#114
Denver, NC 28037-9240

Phone

(980) 222-4788

NPI assigned

Nov 25, 2018

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Hearts Counseling and Wellness, PLLC

  • Professional Counselor
  • Denver, NC
  • NPI 1326682907
  NPD Authorized official

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1104395888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 WATERSIDE LOOP RD",
            "address_2": "#114",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379240",
            "telephone_number": "980-222-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 WATERSIDE LOOP RD",
            "address_2": "#114",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379240",
            "telephone_number": "980-222-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASKEY",
        "first_name": "CLARISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13225",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Physicians Network Inc (Atrium Health Primary Care Lincoln Family Medicine)
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• Theresa Carriveau, PT, DPT
• Daniel Owen Carson, D.D.S.
• Heather Pearson Caruolo, DPT
• Cason Chiropractic Center, Inc.
• Catawba Valley Medical Group Inc (CVMG- Southeast Catawba)
• Cassandra Gomez Caver, NP
• Britany E. Cavett, PHARMD
• Chef and Chauffeur Companion Care LLC

• Professional Counselor in Denver, NC
• Providers in Denver, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.