Active NPI
Cassaundra Willer, LPC
- Professional Counselor
- Mason, OH
National Provider Identifier
1346766912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2102331
- Practice address
- 8559 S Mason Montgomery Rd Ste 25
Mason, OH 45040-9381 - Phone
- (513) 229-8980
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1700372 | OH | |
| Professional Counselor | 101YP2500X | E.2102331 | OH | Primary |
Addresses
Primary practice location
8559 S Mason Montgomery Rd Ste 25
Mason, OH 45040-9381
Mailing address
5554 Bosworth PL
Cincinnati, OH 45212-1204
Phone (513) 833-7515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1700372 | OH | MD | Professional Counselor |
| E.2102331 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1346766912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5554 BOSWORTH PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452121204",
"telephone_number": "513-833-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8559 S MASON MONTGOMERY RD STE 25",
"city": "MASON",
"state": "OH",
"postal_code": "450409381",
"telephone_number": "513-229-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLER",
"first_name": "CASSAUNDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1700372",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.