Cassandra Bivins-Johnson, LPC
Individual provider Active NPI Professional Counselor · Warrenville, SC
NPI 1114568599 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1114568599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 015323 (GA)
- Practice address
- 157 Jon Rd
Warrenville, SC 29851-2935 - Phone
- (803) 295-2710
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher Dennis MD PLLC
Practice addresses (Care Compare)
11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926000703 | GA | Practitioner - Other (Non-Physician) | 3173028420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015323 | GA | MD | Professional Counselor |
| 10198 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Dennis MD PLLC | Current |
Accepting new patients |
Locations
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10198 | SC | |
| Professional Counselor | 101YP2500X | 015323 | GA | Yes |
Addresses
Primary practice location
157 Jon Rd
Warrenville, SC 29851-2935
Mailing address
157 Jon Rd
Warrenville, SC 29851-2935
Phone (803) 295-2710
Other practice location 1
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
Other names
- Cassandra Bivins
Other providers in Warrenville, SC
- Callie Grasty Arbaugh
- Believe Home Care Services LLC
- Black Tie Soul, LLC
- Doris Brenneman
- Micah Goforth Drew
- Kaitlin Fry
- Angela Michelle Gaskins
All providers in Warrenville, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.