Individual provider Active NPI

Cassidy Robinson Van de Graaf, LPC, NCC, CCTSI

  • Mental Health Counselor
  • Henrico, VA
National Provider Identifier
1780336743
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012274 Issued in VA
Practice address
7330 Staples Mill Rd # 244
Henrico, VA 23228-4122
Phone
(804) 223-2160
Fax
(804) 655-5524
NPI assigned
Jan 21, 2022
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012274 VA Primary

Addresses

Primary practice location

7330 Staples Mill Rd # 244
Henrico, VA 23228-4122

Mailing address

7330 Staples Mill Rd # 244
Henrico, VA 23228-4122
Phone (804) 223-2160

Other practice location 1

5230 Hickory Park Dr Ste A
Glen Allen, VA 23059-2628
Phone (757) 636-4800

Other practice location 2

2819 Irisdale Ave
Richmond, VA 23228-5565
Phone (757) 636-4800

Other practice location 3

8814 Fargo Rd Ste 125
Richmond, VA 23229-4628
Phone (804) 223-2160

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

State licenses

LicenseStateTypeSpecialty
0701012274VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Widening the Window Psychotherapy LLC Mental Health Current Accepting new patients

Locations

7330 Staples Mill Rd
Richmond, VA 23228
Phone (804) 223-2160

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1780336743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 STAPLES MILL RD # 244",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284122",
            "telephone_number": "804-223-2160",
            "fax_number": "804-655-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 STAPLES MILL RD # 244",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284122",
            "telephone_number": "804-223-2160",
            "fax_number": "804-655-5524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Hickory Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230592628",
            "country_code": "US",
            "telephone_number": "757-636-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2819 Irisdale Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232285565",
            "country_code": "US",
            "telephone_number": "757-636-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8814 Fargo Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294628",
            "country_code": "US",
            "telephone_number": "804-223-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DE GRAAF",
        "first_name": "CASSIDY",
        "middle_name": "ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, CCTSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.