Johnny G Casady, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0080341 Issued in NM

Practice address

300 East 1St Street
Portales, NM 88130

Phone

(505) 359-1221

Fax

(505) 359-1075

NPI assigned

Oct 25, 2006

Last updated

Feb 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consulting Psychological Services, PAGroup PAC ID 5597656538, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Consulting Psychological Services, PA

  dba Clovis Counseling Center

  • Clinical Psychologist
  • Clovis, NM
  • NPI 1043221724
  Medicare reassignment Care Compare group
• Mental Health Resources, Inc.

  • Mental Health Counselor
  • Clovis, NM
  • NPI 1811049653
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1306921903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ROOSEVELT ROAD R 1/2",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309015",
            "telephone_number": "505-760-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST 1ST STREET",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "505-359-1221",
            "fax_number": "505-359-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADY",
        "first_name": "JOHNNY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0080341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davonica Calbert
• Roberta Calderon
• Shanna Lee Campbell, NP
• Jana Carn
• Wade Carter
• Leah Jayne Castro, CLC
• Madeline K Chalenor, CRNA, DNP
• Celisa Chan
• Charles W. Brooks, O.D., P.C.
• Praveen Chava, M.D.

• Mental Health Counselor in Portales, NM
• Providers in Portales, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.