Individual provider Active NPI

Cassandra Lucia D'Addeo, M.S., LMFT

  • Marriage & Family Therapist
  • Bradenton, FL
National Provider Identifier
1184069312
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3208 Issued in FL
Practice address
5454 Lena Rd Unit 106
Bradenton, FL 34211
Phone
(954) 632-4146
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000895 IL
Marriage & Family Therapist 106H00000X 3208 FL Primary

Addresses

Primary practice location

5454 Lena Rd Unit 106
Bradenton, FL 34211

Mailing address

5454 Lena Rd Unit 106
Bradenton, FL 34211-9499
Phone (954) 632-4146

Other practice location 1

1113 S Milwaukee Ave
Suite 104
Libertyville, IL 60048-3758
Phone (847) 367-5991

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3208FLMDMarriage & Family Therapist
166.000895ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1184069312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119499",
            "telephone_number": "954-632-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "954-632-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 S Milwaukee Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483758",
            "country_code": "US",
            "telephone_number": "847-367-5991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ADDEO",
        "first_name": "CASSANDRA",
        "middle_name": "LUCIA",
        "name_prefix": "Miss",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000895",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.