Active NPI
Cassandra McKoy, M.S., LPCC
- Mental Health Counselor
- Kettering, OH
National Provider Identifier
1386021889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1800640
- Practice address
- 529 East Stroop Road
Kettering, OH 45429 - Phone
- (937) 294-6004
- Fax
- (937) 294-9053
- NPI assigned
- May 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1800640 | OH | Primary |
Addresses
Primary practice location
529 East Stroop Road
Kettering, OH 45429
Mailing address
529 E Stroop Rd
Kettering, OH 45429-3245
Phone (937) 294-6004
Other names 1
- Mrs. Cassie McKoy
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1800640 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marisa Borgert, Psy.D., LLC | Mental Health | Past | Accepting new patients |
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": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1386021889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293245",
"telephone_number": "937-294-6004",
"fax_number": "937-294-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 EAST STROOP ROAD",
"city": "KETTERING",
"state": "OH",
"postal_code": "45429",
"telephone_number": "937-294-6004",
"fax_number": "937-294-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKOY",
"first_name": "CASSANDRA",
"name_prefix": "Mrs.",
"credential": "M.S., LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1800640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIE",
"last_name": "MCKOY",
"prefix": "MRS.",
"credential": "M.S., LPCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.