Individual provider Active NPI

Cassandra Marie Burchfield

  • Marriage & Family Therapist
  • Clermont, FL
National Provider Identifier
1104940477
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3215 Issued in FL
Practice address
210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone
(352) 708-6283
Fax
(352) 363-2496
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3215 FL Primary

Addresses

Primary practice location

210 N Highway 27 Ste 4
Clermont, FL 34711-2411

Mailing address

210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone (352) 708-6283

Other practice location 1

858 S Duncan Dr
Tavares, FL 32778-4044
Phone (352) 988-6673

Other practice location 2

305 E Main St
Tavares, FL 32778-3801
Phone (352) 988-6673

Other practice location 3

367 Blue Cypress Dr
Groveland, FL 34736-8130
Phone (352) 536-4158

Other practice location 4

9100 Conroy Windermere Rd Ste 206
Windermere, FL 34786-8431
Phone (352) 708-6283

Other practice location 5

100 S Kentucky Ave
Lakeland, FL 33801-5096
Phone (352) 708-6283

Other practice location 6

1965 S Orange Blossom Trl
Apopka, FL 32703-7757
Phone (352) 708-6283

Other identifiers 1

IdentifierTypeStateIssuer
767291800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240130000641 FL Practitioner - Marriage and Family Therapist 6608157672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Life Counseling CenterGroup PAC ID 0648623835, 13 clinicians

Practice addresses (Care Compare)

210 N Hwy 27
Suite 4
Clermont, FL 34711-2411
Phone (352) 708-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling Center Marriage & Family Therapist CurrentSince Jan 19, 2024 Accepting new patients

Locations

1965 S Orange Blossom Trl
Apopka, FL 32703
Phone (352) 462-0539

210 N US Highway 27
Ste 4
Clermont, FL 34711
Phone (352) 243-4800

1230 Oakley Seaver Dr
Ste 307
Clermont, FL 34711

13806 State Road 33
Groveland, FL 34736
Phone (352) 874-0639

100 S Kentucky Ave
Lakeland, FL 33801
Phone (352) 708-6283

858 S Duncan Dr
Tavares, FL 32778
Phone (352) 708-6283

9100 Conroy Windermere Rd
Ste 206
Windermere, FL 34786
Phone (352) 708-6283

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1104940477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283",
            "fax_number": "352-363-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283",
            "fax_number": "352-363-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 S Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784044",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "fax_number": "352-363-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Main St",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327783801",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "fax_number": "352-363-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "367 Blue Cypress Dr",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347368130",
            "country_code": "US",
            "telephone_number": "352-536-4158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Conroy Windermere Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868431",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015096",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "fax_number": "352-363-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1965 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327037757",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHFIELD",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767291800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.