Active NPI
Christine Cassidy, LPC
- Professional Counselor
- Brighton, MI
National Provider Identifier
1477021483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64010000375
- Practice address
- 7600 Grand River Rd
Brighton, MI 48114-7333 - Phone
- (734) 649-2448
- NPI assigned
- Nov 7, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64010000375 | MI | Primary |
Addresses
Primary practice location
7600 Grand River Rd
Brighton, MI 48114-7333
Mailing address
110 Pondview CT
Brighton, MI 48116-1196
Phone (734) 649-2448
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 |
|---|---|---|---|
| 64010000375 | MI | MD | Professional Counselor |
Interoperability endpoints
- lifestancehealth.christinecassidy@150339.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1477021483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PONDVIEW CT",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161196",
"telephone_number": "734-649-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147333",
"telephone_number": "734-649-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "CHRISTINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "64010000375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.