Active NPI
Cassidy Lucas, RBT
- Behavior Technician
- Mascoutah, IL
National Provider Identifier
1568198497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-226241
- Practice address
- 522 E Main St
Mascoutah, IL 62258-2240 - Phone
- (618) 566-0313
- NPI assigned
- Jul 25, 2022
- Last updated
- Jul 25, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-226241 | IL | Primary |
Addresses
Primary practice location
522 E Main St
Mascoutah, IL 62258-2240
Mailing address
225 Alamosa Dr
Freeburg, IL 62243-2666
Phone (330) 604-1262
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 |
|---|---|---|---|
| RBT-22-226241 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Services Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lockport, IL
- NPI 1609834191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1568198497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 ALAMOSA DR",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622432666",
"telephone_number": "330-604-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622582240",
"telephone_number": "618-566-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CASSIDY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-22-226241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mascoutah, IL
- Lajoye Pediatric Therapy, LLC
- Jacob Graham Lanter
- Sarah Michelle Laskowski, CF-SLP
- Hannah Loder-Seffinga, RBT
- Lynn Loewe
- Mascoutah Chiropractic LTD
- Mascoutah Community School District #19
- Mascoutah Nursing and Rehab Center LLC (La Bella of Mascoutah)
- Mascoutah Rehab and Nursing LLC
- Meredith McFarland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.