Cassandra Leigh Farrell

Individual provider Active NPI Mental Health Counselor · Mayville, NY

NPI 1114150422 · NPPES record last updated May 26, 2016

Key facts

NPI
1114150422
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
097524 (NY)
Practice address
7 N Erie St
Mayville, NY 14757-1095
Phone
(716) 753-4104
Fax
(716) 753-4230
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 097524 NY Yes

Addresses

Primary practice location

7 N Erie St
Mayville, NY 14757-1095

Mailing address

200 E 3Rd St
Jamestown, NY 14701-5433
Phone (716) 661-8330

Other providers in Mayville, NY

All providers in Mayville, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.