Individual provider Active NPI

Ann Marie Becker Cassibry, LPC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1174930820
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007237 Issued in GA
Practice address
402 Osigian Blvd
Suite 400
Warner Robins, GA 31088-8988
Phone
(478) 333-3058
Fax
(770) 485-7173
NPI assigned
Jul 15, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007237 GA Primary

Addresses

Primary practice location

402 Osigian Blvd
Suite 400
Warner Robins, GA 31088-8988

Mailing address

402 Osigian Blvd
Suite 400
Warner Robins, GA 31088-8988
Phone (478) 333-3058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC007237GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deepti Bhasin MD Inc PastSince Feb 15, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGAHCA

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1174930820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 OSIGIAN BLVD",
            "address_2": "SUITE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888988",
            "telephone_number": "478-333-3058",
            "fax_number": "770-485-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 OSIGIAN BLVD",
            "address_2": "SUITE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888988",
            "telephone_number": "478-333-3058",
            "fax_number": "770-485-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIBRY",
        "first_name": "ANN MARIE",
        "middle_name": "BECKER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.