Active NPI
Cassie Surplus, MA
- Addiction (Substance Use Disorder) Counselor
- Hazleton, PA
National Provider Identifier
1558119024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 223 W Broad St
Hazleton, PA 18201-6201 - Phone
- (570) 455-9902
- Fax
- (570) 455-9452
- NPI assigned
- May 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Professional Counselor | 101YP2500X | PC018506 | PA |
Addresses
Primary practice location
223 W Broad St
Hazleton, PA 18201-6201
Mailing address
223 W Broad St
Hazleton, PA 18201-6201
Phone (570) 455-9902
Other names 1
- Cassie Kilheeney
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018506 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway to Recovery Counseling & Educational Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
223 W Broad St
Hazleton, PA 18201
Phone (570) 455-9902
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.
-
- Addiction (Substance Use Disorder) Counselor
- Hazleton, PA
- NPI 1609889351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1558119024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016201",
"telephone_number": "570-455-9902",
"fax_number": "570-455-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016201",
"telephone_number": "570-455-9902",
"fax_number": "570-455-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURPLUS",
"first_name": "CASSIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIE",
"last_name": "KILHEENEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.