Simona C. Cassatly, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00655000 Issued in NJ

Practice address

935 Allwood Rd Ste 300
Clifton, NJ 07012-1988

Phone

(862) 930-5700

Fax

(973) 707-2383

NPI assigned

Dec 27, 2018

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Time to Heal

  • Multi-Specialty Clinic/Center
  • Clifton, NJ
  • NPI 1659923431

  Professional

  Medicare reassignment NPD Authorized official
• Allwood Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1851066682

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1750853099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 ALLWOOD RD STE 300",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121988",
            "telephone_number": "862-930-5700",
            "fax_number": "973-707-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 ALLWOOD RD STE 300",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121988",
            "telephone_number": "862-930-5700",
            "fax_number": "973-707-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Broad St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070032884",
            "country_code": "US",
            "telephone_number": "862-930-5700",
            "fax_number": "973-707-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSATLY",
        "first_name": "SIMONA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00655000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LPC",
            "identifier": "37PC00655000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "simona.cassatly@timetohealcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "935 Allwood Rd Ste 300",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070121988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenesis Nahomi Carrasco Rodriguez
• Jesus Carrillo, PT
• Alicia D. Carti, APN-C
• Gianna Marie Caruso, LPC
• Casa Home Care, Inc
• Katelyn Cassiello
• Cassovia Ambulance Limited Liability Company
• Castellaro Chiropractic
• Kimberly Castillo, LPC
• Sherwin A Castro

• Professional Counselor in Clifton, NJ
• Providers in Clifton, 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 Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.