Active NPI
Cassandra Huckleberry
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4909 E McDowell Rd
Phoenix, AZ 85008-4227 - Phone
- (602) 685-6000
- Fax
- (602) 275-1355
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros, Inc. | Current | Accepting new patients | |
| Terros Inc | Current | Accepting new patients | |
| Terros, Inc. | Current | Accepting new patients | |
| Reset Counseling & Wellness | Current | Accepting new patients |
Locations
4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591
3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015
9393 N 90th St
Ste 102
Scottsdale, AZ 85258
Phone (267) 225-3549
3295 N Drinkwater Blvd
Ste 10
Scottsdale, AZ 85251
Phone (480) 210-3057
Interoperability endpoints
- cassandra.huckleberry.p1@direct.terros.nextgenshare.com
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Troy, MI
- NPI 1609466085
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1528443066
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1841498060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1154835171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122929",
"telephone_number": "602-685-6000",
"fax_number": "602-302-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084227",
"telephone_number": "602-685-6000",
"fax_number": "602-275-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKLEBERRY",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.