Individual provider Active NPI

Cassandra Hanley

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1477930659
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
16 Ampersand Dr
Plattsburgh, NY 12901-6500
Phone
(518) 565-4060
NPI assigned
Apr 27, 2015
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

16 Ampersand Dr
Plattsburgh, NY 12901-6500

Mailing address

16 Ampersand Dr
Plattsburgh, NY 12901-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000540 NY Practitioner - Mental Health Counselor 1052757226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton CountyGroup PAC ID 7618960600, 11 clinicians

Practice addresses (Care Compare)

130 Arizona Ave
Suite 1500
Plattsburgh, NY 12903-4908
Phone (518) 565-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County CurrentSince Jan 1, 2024 Accepting new patients
Clinton County Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

130 Arizona Ave
Ste 1500
Plattsburgh, NY 12903
Phone (518) 565-4060

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, 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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1477930659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AMPERSAND DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AMPERSAND DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016500",
            "telephone_number": "518-565-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.