Brian Cassidy, LPC
Individual provider Active NPI Professional Counselor · Anchorage, AK
NPI 1760919633 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1760919633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 120740 (AK)
- Practice address
- 4000 San Ernesto Ave
Anchorage, AK 99508-2874 - Phone
- (907) 729-5055
- Fax
- (907) 729-5055
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7033 E Tudor Rd
Anchorage, AK 99507-1262
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251224000572 | TX | Practitioner - Mental Health Counselor | 7618462813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120740 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current |
Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past |
Accepting new patients | |
| Southcentral Foundation | Past |
Accepting new patients |
Locations
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
4320 Diplomacy Dr
Ste 1500
Anchorage, AK 99508
Phone 90772925003
3000 C St
Anchorage, AK 99503
Phone (907) 301-7411
4000 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5020
400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200
225 Eagle St
Anchorage, AK 99501
Phone (907) 729-6550
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 120740 | AK | Yes |
Addresses
Primary practice location
4000 San Ernesto Ave
Anchorage, AK 99508-2874
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8961
Other practice location 1
4320 Diplomacy Dr Ste 1500
Anchorage, AK 99508-5925
Phone (907) 729-2500
Other providers in Anchorage, AK
- Everett Cason
- Lauren Cass
- Cassandra @ Faithful Hands
- Kristen Luoma Cassens
- Andrea Michelle Schultz Cassidy
- Elaine Cassidy
- Michael Cassista
- Audrey Clarisse Castaneda
- Sebastian Castaneda
- Vita Castellana
All providers in Anchorage, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.