Active NPI
Cassidy Olio
- Professional Counselor
- Naugatuck, CT
National Provider Identifier
1679005177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4565
- Practice address
- 16 Hillside Ave
Naugatuck, CT 06770-4019 - Phone
- (203) 729-0341
- NPI assigned
- Apr 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 238578157 | CT | |
| Professional Counselor | 101YP2500X | 4565 | CT | Primary |
Addresses
Primary practice location
16 Hillside Ave
Naugatuck, CT 06770-4019
Mailing address
896 Asylum Ave
Hartford, CT 06105-1901
Other practice location 1
896 Asylum Ave
Hartford, CT 06105-1901
Phone (188) 840-5118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 17, 2024 through Jun 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238578157 | CT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1679005177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 ASYLUM AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HILLSIDE AVE",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067704019",
"telephone_number": "203-729-0341"
}
],
"practiceLocations": [
{
"address_1": "896 Asylum Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051901",
"country_code": "US",
"telephone_number": "188-840-5118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIO",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "238578157",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "4565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.