Cassandra Bengela
Individual provider Active NPI Professional Counselor · Defiance, OH
NPI 1144779257 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1144779257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.2102149 (OH)
- Practice address
- 211 Biede Ave
Defiance, OH 43512-2408 - Phone
- (419) 782-8856
- Fax
- (419) 784-4506
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Viaquest Psychiatric and Behavioral Solutions LLC
Practice addresses (Care Compare)
525 Metro PL N
Suite 300
Dublin, OH 43017-5320
Phone (855) 289-1722
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20241104001886 | OH | Practitioner - Mental Health Counselor | 7517490139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500628 | OH | MD | Mental Health Counselor |
| E.2102149 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaquest Psychiatric & Behavioral Solutions LLC | Current |
Accepting new patients | |
| Viaquest Psychiatric & Behavioral Solutions LLC | Current |
Accepting new patients |
Locations
525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1500628 | OH | |
| Professional Counselor | 101YP2500X | E.2102149 | OH | Yes |
Addresses
Primary practice location
211 Biede Ave
Defiance, OH 43512-2408
Mailing address
211 Biede Ave
Defiance, OH 43512-2408
Phone (419) 782-8856
Other providers in Defiance, OH
- Rosemary Bays
- David Richard Behringer
- Samuel Beining
- Kelsi S Belcher
- Terri Bendele
- Denise Benore
- Lanee Benson
- Nicole Bernath
- Beth A Besaw
- Heidi Betz
All providers in Defiance, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. 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.