Active NPI
Cassie Hobbs Watts, LPC
- Professional Counselor
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401223852
- Practice address
- 650 Trade Centre Way Ste 140
Portage, MI 49002-0411 - Phone
- (517) 882-3732
- Fax
- (517) 882-3633
- NPI assigned
- Oct 6, 2023
- Last updated
- Dec 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401223852 | MI | Primary |
Addresses
Primary practice location
650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Mailing address
650 Trade Center Way, Suite 140
Portage, MI 49002
Phone (517) 882-3732
Other practice location 1
524 E Milham Ave Ste B
Portage, MI 49002-1473
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
524 E Milham Ave
Suite B
Portage, MI 49002-1473
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223852 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
524 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 264-4920
7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1164203113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 TRADE CENTER WAY, SUITE 140",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49002",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 TRADE CENTRE WAY STE 140",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020411",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
}
],
"practiceLocations": [
{
"address_1": "524 E Milham Ave Ste B",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490021473",
"country_code": "US",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "CASSIE",
"middle_name": "HOBBS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-06",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401223852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.