Individual provider Active NPI

Cassandra Nicloas

  • Counselor
  • Pembroke Pines, FL
National Provider Identifier
1194467878
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1152 N University Dr Ste 201
Pembroke Pines, FL 33024-5012
Phone
(195) 463-9734
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1152 N University Dr Ste 201
Pembroke Pines, FL 33024-5012

Mailing address

1152 N University Dr Ste 201
Pembroke Pines, FL 33024-5012
Phone (195) 463-9734

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Clinic Inc CurrentSince May 28, 2023 Accepting new patients

Locations

1152 N University Dr
Ste 201
Pembroke Pines, FL 33024
Phone (954) 639-7345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1194467878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 N UNIVERSITY DR STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245012",
            "telephone_number": "195-463-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N UNIVERSITY DR STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245012",
            "telephone_number": "195-463-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICLOAS",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.