Active NPI
Cassandra Carroll
- Mental Health Counselor
- Haverhill, MA
National Provider Identifier
1780007369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10663
- Practice address
- 69 Summer St
Haverhill, MA 01830-5855 - Phone
- (978) 566-1716
- Fax
- (844) 966-6534
- NPI assigned
- Feb 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 10663 | MA | Primary |
Addresses
Primary practice location
69 Summer St
Haverhill, MA 01830-5855
Mailing address
69 Summer St
Haverhill, MA 01830-5855
Phone (978) 566-1716
Other names 1
- Cassandra Wolff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawthorn Roots, LLC | Mental Health | Current | Accepting new patients |
Locations
8 Federal Way
Ste 2
Groveland, MA 01834
Phone (978) 566-1716
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Groveland, MA
- NPI 1376394130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1780007369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 SUMMER ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018305855",
"telephone_number": "978-566-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 SUMMER ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018305855",
"telephone_number": "978-566-1716",
"fax_number": "844-966-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "CASSANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-01",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "WOLFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.