Individual provider Active NPI

Cassie Nowak, LMFT

  • Marriage & Family Therapist
  • Bristol, CT
National Provider Identifier
1124440854
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1638 Issued in CT
Practice address
440 N Main St Ste C
Bristol, CT 06010-1902
Phone
(860) 583-5858
Fax
(860) 584-9962
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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 1638 CT Primary

Addresses

Primary practice location

440 N Main St Ste C
Bristol, CT 06010-1902

Mailing address

440 N Main St Ste C
Bristol, CT 06010-1902
Phone (860) 583-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250318000123 CT Practitioner - Marriage and Family Therapist 3274055470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Broad St
Plainville, CT 06062-4201
Phone (860) 877-1727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1638CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Family Therapy Center, LLC Marriage & Family Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

49 Broad St
Plainville, CT 06062
Phone (475) 267-4625

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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1124440854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST STE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060101902",
            "telephone_number": "860-583-5858",
            "fax_number": "860-584-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST STE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060101902",
            "telephone_number": "860-583-5858",
            "fax_number": "860-584-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "CASSIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.