Cassandra Gayle Caudill, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

284257 Issued in KY

Practice address

30 Medpark Square Dr Ste 2&3
Somerset, KY 42503-1709

Phone

(833) 510-4357

NPI assigned

Jun 21, 2019

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cassandra Gayle Rowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brightview LLC

  • Methadone Clinic
  • Nicholasville, KY
  • NPI 1609462472
  NPD (past)
• Foothills Academy, Inc

  dba Community Based Interventions

  • Multi-Specialty Clinic/Center
  • Monticello, KY
  • NPI 1306250782

  Counselor

  NPD (past)
• Foothills Academy, Inc.

  dba Community Based Interventions

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Monticello, KY
  • NPI 1114291879

  Counselor

  NPD (past)
• Spero Health of Kentucky, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Danville, KY
  • NPI 1982102109
  NPD (past)
• Brightview, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1659769446
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1255992236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDPARK SQUARE DR STE 2&3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031709",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "CASSANDRA",
        "middle_name": "GAYLE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "271277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "284257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100762610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ROWE",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Cash
• Margaret L Cash, OTR/L
• Callie Casteel
• Catalyst Management Incorporated
• Kenneth Earl Catron III, PTA
• William A. Caudill, D.M.D.
• Raymond Y Causey
• Century Pharmacy, Inc. (Century Medicines)
• Chad C. Henderson DC, PSC
• Chad O. Patterson MD PLLC

• Professional Counselor in Somerset, KY
• Providers in Somerset, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.