Active NPI
Cassi Miles
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1417708363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 92201
- Practice address
- 1706 Enderly PL
Fort Worth, TX 76104-4122 - Phone
- (469) 334-3151
- NPI assigned
- Mar 28, 2024
- Last updated
- Mar 28, 2024
- 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 | 92201 | TX | Primary |
Addresses
Primary practice location
1706 Enderly PL
Fort Worth, TX 76104-4122
Mailing address
1706 Enderly PL
Fort Worth, TX 76104-4122
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 |
|---|---|---|---|
| 92201 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1417708363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 ENDERLY PL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 ENDERLY PL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044122",
"telephone_number": "469-334-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "CASSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "92201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Trona Kay Milano, MSN, RN
- Linda A Milburn, LCSW, LCDC
- Miles Dental Care
- Miles of Comfort
- Andy Noel Miles, PT
- Katie Miles
- Tenille Markay Miles
- Milestone Dental of Keller, PLLC (Milestone Dental)
- Milestone Geriatric Day Care, Inc (Milestone Behavior Health Center)
- Milestone Geriatric Day Care, Inc (Milestone Behavior Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.