Brian Cassidy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

120740 Issued in AK

Practice address

4000 San Ernesto Ave
Anchorage, AK 99508-2874

Phone

(907) 729-5055

Fax

(907) 729-5055

NPI assigned

May 22, 2017

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment
• Southcentral Foundation

  dba Tribal- McGrath Regional Health Center

  • Multi-Specialty Clinic/Center
  • McGrath, AK
  • NPI 1063467223
  NPD
• Southcentral Foundation

  dba Alaska Subspecialty Pediatric Network (ASPN)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1457196685
  NPD
• Southcentral Foundation

  dba BH 1115- Child & Family Outpatient Services (South

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1588333678
  NPD
• Southcentral Foundation

  dba Tribal- Nondalton Clinic

  • Community Health Clinic/Center
  • Nondalton, AK
  • NPI 1740659192
  NPD
• Southcentral Foundation

  dba Tribal-Nilavena Regional Health Center

  • Multi-Specialty Clinic/Center
  • Iliamna, AK
  • NPI 1912954272
  NPD
• Southcentral Foundation

  dba BSD-Anpcc Burt

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1124064894
  NPD (past)
• Southcentral Foundation

  dba 1115-Rural Behavioral Health

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1639722069
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1760919633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8961",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAN ERNESTO AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082874",
            "telephone_number": "907-729-5055",
            "fax_number": "907-729-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "BRIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "120740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Cason
• Lauren Cass, PT
• Cassandra @ Faithful Hands
• Kristen Luoma Cassens, M.S., P.T.
• Andrea Michelle Schultz Cassidy
• Elaine Cassidy
• Michael Cassista, RN
• Audrey Clarisse Castaneda
• Sebastian Castaneda, PT
• Vita Castellana

• Professional Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.