Individual provider Active NPI

Cassandra Bell-Gash

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1790976165
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7155 Issued in SC
Practice address
2025 Ebenezer Rd Ste J4
Rock Hill, SC 29732-1079
Phone
(704) 300-4273
NPI assigned
Aug 9, 2007
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11587 NC
Mental Health Counselor 101YM0800X 7155 SC
Professional Counselor 101YP2500X A11587 NC
Professional Counselor 101YP2500X 7155 SC Primary
Community/Behavioral Health Agency 251S00000X NU
Community/Behavioral Health Agency 251S00000X 7155 NU

Addresses

Primary practice location

2025 Ebenezer Rd Ste J4
Rock Hill, SC 29732-1079

Mailing address

1143 W Stagecoach TRL
Lawndale, NC 28090-9058
Phone (704) 300-4273

Other practice location 1

223 Merrifield Ct
Gaffney, SC 29340-2780
Phone (704) 300-4273

Other practice location 2

1143 W Stagecoach Trl
Lawndale, NC 28090-9058
Phone (704) 300-4273

Other practice location 3

400 Royster Ave
Suite 1
Shelby, NC 28150-6503
Phone (704) 297-5202

Other practice location 4

331 E Main St
Rock Hill, SC 29730-5383
Phone (704) 300-4273

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
A11587NCMDProfessional Counselor
7155SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Provisions, LLC Community/Behavioral Health Past Accepting new patients

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1790976165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 W STAGECOACH TRL",
            "city": "LAWNDALE",
            "state": "NC",
            "postal_code": "280909058",
            "telephone_number": "704-300-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD STE J4",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321079",
            "telephone_number": "704-300-4273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Merrifield Ct",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293402780",
            "country_code": "US",
            "telephone_number": "704-300-4273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 W Stagecoach Trl",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "NC",
            "postal_code": "280909058",
            "country_code": "US",
            "telephone_number": "704-300-4273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Royster Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281506503",
            "country_code": "US",
            "telephone_number": "704-297-5202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 E Main St",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305383",
            "country_code": "US",
            "telephone_number": "704-300-4273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL-GASH",
        "first_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11587",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11587",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7155",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": "7155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.