Acquisha Chrystal Cagilus, LPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019341 Issued in MI

Practice address

1030 Miners Road
Saint Joseph, MI 49085

Phone

(269) 408-1688

NPI assigned

Dec 17, 2018

Last updated

Sep 16, 2021By 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

• Acquisha Chrystal Sampson Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acquisha.cagilus.1@27120.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

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.

• Psychiatric Specialties, PLC

  • Psychiatry Physician
  • Saint Joseph, MI
  • NPI 1841321072
  Medicare reassignment NPD
• Psychiatric and Psychological Specialties

  • Clinical Psychologist
  • Saint Joseph, MI
  • NPI 1548672728
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1184195166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS ROAD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-408-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS ROAD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-408-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGILUS",
        "first_name": "ACQUISHA",
        "middle_name": "CHRYSTAL",
        "credential": "LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACQUISHA",
            "last_name": "SAMPSON",
            "middle_name": "CHRYSTAL",
            "credential": "LPC NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Colleen Button
• Joshua Byers, O.D,
• Patrick Thomas Byrnes, LLPC
• C R Alderdice D O
• Rossenery Caceres, PT, DPT, AIB-VRC
• Lawrence Christie Cairns, M.D.
• Michael T. Callahan, PA-C
• Carrie Ann Campbell, OD
• Matthew J Campbell, M.D.
• Meredith Canter

• Professional Counselor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.