Individual provider Active NPI

Cassandra Athena Gadouas, LMHC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1619032299
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8375 Issued in FL
Practice address
5207 Marine Pkwy
New Port Richey, FL 34652
Phone
(727) 505-0959
Fax
(727) 863-1343
NPI assigned
Dec 26, 2006
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8375 FL Primary

Addresses

Primary practice location

5207 Marine Pkwy
New Port Richey, FL 34652

Mailing address

5207 Marine Pkwy
New Port Richey, FL 34652-4234
Phone (305) 675-9200

Other practice location 1

7620 Congress St
New Port Richey, FL 34653-1108
Phone (727) 505-0959

Other practice location 2

7620 Congress St
New Port Richey, FL 34653-1108
Phone (727) 505-0959

Other identifiers 2

IdentifierTypeStateIssuer
11873080OtherFLCAQH
006082200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240515000840 FL Practitioner - Mental Health Counselor 3779924238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5207 Marine Pkwy
New Port Richey, FL 34652-4234
Phone (727) 505-0959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8375FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra's Counseling Mental Health CurrentSince Jul 20, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 3, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5207 Marine Pkwy
New Port Richey, FL 34652
Phone (727) 505-0959

7620 Congress St
New Port Richey, FL 34653
Phone (727) 505-0959

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1619032299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524234",
            "telephone_number": "305-675-9200",
            "fax_number": "727-863-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-505-0959",
            "fax_number": "727-863-1343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7620 Congress St",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346531108",
            "country_code": "US",
            "telephone_number": "727-505-0959",
            "fax_number": "727-863-1343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7620 Congress St",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346531108",
            "country_code": "US",
            "telephone_number": "727-505-0959",
            "fax_number": "727-863-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADOUAS",
        "first_name": "CASSANDRA",
        "middle_name": "ATHENA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11873080",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006082200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.