Cassie Rose Yoder, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.020841 Issued in IL

Practice address

7227 Madison St
Forest Park, IL 60130-1726

Phone

(308) 340-6061

NPI assigned

Sep 14, 2022

Last updated

Oct 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Cassie Rose Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1164144358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301726",
            "telephone_number": "308-340-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301726",
            "telephone_number": "308-340-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 E Harmony Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805289632",
            "country_code": "US",
            "telephone_number": "308-340-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "CASSIE",
        "middle_name": "ROSE",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020841",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0020016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "OLSON",
            "middle_name": "ROSE",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skyy Derajane Williams, RBT
• Julianna Elizabeth Holzer Winter
• Vanessa Wittich
• Joshua Woodruff, DMD
• Tiffany M Woods, LCPC
• Michelle Marie Zadelek, M.A.

• Mental Health Counselor in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.