Cassie Nicole Carter
Individual provider Active NPI Marriage & Family Therapist · Beachwood, OH
NPI 1265100465 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1265100465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M.2300279 (OH)
- Practice address
- 24100 Chagrin Blvd Ste 125
Beachwood, OH 44122-5535 - Phone
- (833) 254-3218
- Fax
- (800) 879-1741
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.2300279 | OH | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M.2300279 | OH | Yes |
Addresses
Primary practice location
24100 Chagrin Blvd Ste 125
Beachwood, OH 44122-5535
Mailing address
15880 Glynn Rd
East Cleveland, OH 44112-3531
Other practice location 1
3737 Lander Rd
Cleveland, OH 44124-5712
Phone (216) 831-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459582 | Medicaid | OH | |
| 2871101 | Medicaid | OH |
Other providers in Beachwood, OH
- Gary E Carrington
- Quinton Carrington
- Carson Family Dentistry LLC
- George Michael Carson
- Alexander J Carter
- Erin Carter
- Tyreea Carter
- Christina Maria Ann Cartwright
- Ellen F Casper
- Mary Beth Castillo
All providers in Beachwood, OH · Marriage & Family Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.