Individual provider Active NPI

Cassie Surplus, MA

  • Addiction (Substance Use Disorder) Counselor
  • Hazleton, PA
National Provider Identifier
1558119024
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PC018506PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Recovery Counseling & Educational Services Addiction (Substance Use Disorder) CurrentSince May 19, 2024 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.

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.

Verify at the official NPI Registry.