Active NPI
Cassandra Nicole Quick, LPC
- Professional Counselor
- Janesville, WI
National Provider Identifier
1659569333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3971-125
- Practice address
- 903 Mineral Point Ave
Janesville, WI 53548-2970 - Phone
- (608) 756-5555
- Fax
- (608) 756-0174
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3971-125 | WI | Primary |
Addresses
Primary practice location
903 Mineral Point Ave
Janesville, WI 53548-2970
Mailing address
903 Mineral Point Ave
Janesville, WI 53548-2970
Phone (608) 756-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43712400 | Medicaid | WI |
Other names 1
- Cassandra N Lamere
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3971-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1659569333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482970",
"telephone_number": "608-756-5555",
"fax_number": "608-756-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482970",
"telephone_number": "608-756-5555",
"fax_number": "608-756-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "CASSANDRA",
"middle_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3971-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43712400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "LAMERE",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.