Individual provider Active NPI

Patti S Cassidy, PC

  • Professional Counselor
  • Sandusky, OH
National Provider Identifier
1487713517
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0008051 Issued in OH
Practice address
1604 E Perkins Ave Ste 201
Sandusky, OH 44870-5137
Phone
(419) 609-0285
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0008051 OH Primary

Addresses

Primary practice location

1604 E Perkins Ave Ste 201
Sandusky, OH 44870-5137

Mailing address

212 S Main St
Attica, OH 44807-9104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240313003530 OH Practitioner - Mental Health Counselor 4486090347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0008051OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Minds Coaching & Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Clear Minds Coaching & Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Wayne Morse PHD and Associates Past Accepting new patients

Locations

3000 Seneca Industrial Pkwy W
Bellevue, OH 44811
Phone (567) 424-6003

4 E Seminary St
Norwalk, OH 44857
Phone (567) 424-6003

Organizations & group practices 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487713517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "ATTICA",
            "state": "OH",
            "postal_code": "448079104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 E PERKINS AVE STE 201",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705137",
            "telephone_number": "419-609-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "PATTI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0008051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.