Lisa Marie Cassilli, LPC, NCC, SAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00029300 Issued in NJ

Practice address

12 Dogwood CT
Cedar Grove, NJ 07009-2100

Phone

(973) 868-8554

NPI assigned

Feb 24, 2018

Last updated

Feb 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1568963569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092100",
            "telephone_number": "973-868-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD CT",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092100",
            "telephone_number": "973-868-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSILLI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00029300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cedar Grove Board of Education
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• Professional Counselor in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; 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.