Active NPI
Paul Scott Cassidy, BA, QP, CSAC
- Addiction (Substance Use Disorder) Counselor
- Asheville, NC
National Provider Identifier
1205392156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CSAC-23855
- Practice address
- 6 Roberts Rd Ste 103
Asheville, NC 28803-6631 - Phone
- (828) 505-3086
- Fax
- (828) 274-6377
- NPI assigned
- Feb 15, 2019
- Last updated
- Jan 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSAC-23855 | NC | Primary |
Addresses
Primary practice location
6 Roberts Rd Ste 103
Asheville, NC 28803-6631
Mailing address
PO Box 1536
Morganton, NC 28680-1536
Phone (828) 437-3000
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSAC-23855 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Treatment Center, LLC | Past | Accepting new patients | |
| Crossroads Treatment Center of Asheville, PC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Asheville, NC
- NPI 1124457718
Addiction (Substance Use Disorder)
-
- Methadone Clinic
- Asheville, NC
- NPI 1104085984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1205392156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1536",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286801536",
"telephone_number": "828-437-3000",
"fax_number": "828-274-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ROBERTS RD STE 103",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288036631",
"telephone_number": "828-505-3086",
"fax_number": "828-274-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "PAUL",
"middle_name": "SCOTT",
"credential": "BA, QP, CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CSAC-23855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.