Cassie Amanda Eaton, LPCC

Individual provider Active NPI Professional Counselor · Geneva, OH

NPI 1437334869 · NPPES record last updated Jul 28, 2023

Key facts

NPI
1437334869
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E.1700330 (OH)
Practice address
330 Greenridge Dr
Geneva, OH 44041-9186
Phone
(440) 941-5722
Fax
(440) 579-0135
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E.1700330OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassie Eaton, LLC Current
since Aug 1, 2020
Accepting new patients

Locations

1489 Bridge St
Ashtabula, OH 44004

2300 Hubbard Rd
Madison, OH 44057
Phone (440) 645-1949

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1700330 OH Yes

Addresses

Primary practice location

330 Greenridge Dr
Geneva, OH 44041-9186

Mailing address

330 Greenridge Dr
Geneva, OH 44041-9186
Phone (440) 941-5722

Other names

  • Ms. Cassie Amanda Fedor Former name

Other providers in Geneva, OH

All providers in Geneva, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.