Active NPI
Cassandra Carver, LMHC
- Mental Health Counselor
- Lakeland, FL
National Provider Identifier
1386980365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15345
- Practice address
- 1835 Gilmore Ave
Lakeland, FL 33805-3017 - Phone
- (863) 519-0575
- NPI assigned
- Dec 20, 2012
- 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 | MH15345 | FL | Primary |
Addresses
Primary practice location
1835 Gilmore Ave
Lakeland, FL 33805-3017
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575
Other names 1
- Cassandra Pender
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15345 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace River Center for Personal Development Inc | Current | Accepting new patients | |
| Peace River Center for Personal Development Inc | Past | Accepting new patients |
Locations
1831 Gilmore Ave
Lakeland, FL 33805
Phone 8635190575 ext. 6494
1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300
1835 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300
715 N Lake Ave
Lakeland, FL 33801
Phone (863) 413-2566
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bartow, FL
- NPI 1821097767
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakeland, FL
- NPI 1538802939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1386980365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "BARTOW",
"state": "FL",
"postal_code": "338311559",
"telephone_number": "863-519-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 GILMORE AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053017",
"telephone_number": "863-519-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVER",
"first_name": "CASSANDRA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "PENDER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.