Individual provider Active NPI

Cassidy Conway Beard, LCAS-A, LCMHC-A, NCC

  • Addiction (Substance Use Disorder) Counselor
  • Southern Pines, NC
National Provider Identifier
1386254407
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
26227 Issued in NC
Practice address
10205 US Highway 15 501 Unit 26
Southern Pines, NC 28387-5180
Phone
(984) 983-5423
Fax
(984) 220-9438
NPI assigned
Aug 4, 2020
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1154368 NC
Mental Health Counselor 101YM0800X A15754 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 26227 NC Primary

Addresses

Primary practice location

10205 US Highway 15 501 Unit 26
Southern Pines, NC 28387-5180

Mailing address

10205 US Highway 15 501 Unit 26
#178
Southern Pines, NC 28387-5180
Phone (984) 983-5423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1154368NCMDCounselor
26227NCMDAddiction (Substance Use Disorder) Counselor
A15754NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Hill Recovery, LLC PastSince Aug 9, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1386254407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 US HIGHWAY 15 501 UNIT 26",
            "address_2": "#178",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875180",
            "telephone_number": "984-983-5423",
            "fax_number": "984-220-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 US HIGHWAY 15 501 UNIT 26",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875180",
            "telephone_number": "984-983-5423",
            "fax_number": "984-220-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CASSIDY",
        "middle_name": "CONWAY",
        "credential": "LCAS-A, LCMHC-A, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "1154368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15754",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.