Individual provider Active NPI

Cassandra Riedy, MA

  • Counselor
  • Franklin, TN
National Provider Identifier
1346971397
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2003 Issued in TN
Practice address
1650 Murfreesboro Rd Ste 100
Franklin, TN 37067-5088
Phone
(703) 795-9724
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2003 TN Primary

Addresses

Primary practice location

1650 Murfreesboro Rd Ste 100
Franklin, TN 37067-5088

Mailing address

1650 Murfreesboro Rd Ste 219
Franklin, TN 37067-5113
Phone (703) 795-9724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 18, 2024 through Jun 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2003TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In Our Light LLC CurrentSince Jun 26, 2022 Accepting new patients

Locations

1650 Murfreesboro Rd
Ste 219
Franklin, TN 37067
Phone (615) 236-6365

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1346971397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MURFREESBORO RD STE 219",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675113",
            "telephone_number": "703-795-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MURFREESBORO RD STE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675088",
            "telephone_number": "703-795-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDY",
        "first_name": "CASSANDRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.