Individual provider Active NPI

Cassandra Joy Dessureau-O'Hara

  • Professional Counselor
  • Seymour, CT
National Provider Identifier
1801498910
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
9 Karlak St
Seymour, CT 06483-2617
Phone
(914) 843-9406
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CT Primary

Addresses

Primary practice location

9 Karlak St
Seymour, CT 06483-2617

Mailing address

9 Karlak St
Seymour, CT 06483-2617
Phone (914) 843-9406

Other names 1

  • Ms. Cassandra Joy O'Hara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240201001291 CT Practitioner - Mental Health Counselor 9739532177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mja Behavioral Health and WellnessGroup PAC ID 8820441264, 12 clinicians

Practice addresses (Care Compare)

2 Corporate Dr
Suite 950
Shelton, CT 06484-6246
Phone (203) 200-0617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4767CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
M.J.a. Behavioral Health and Wellness Professional CurrentSince Jan 1, 2024 Accepting new patients
Themindfullcup, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

111 Beach Rd
Ste 350
Fairfield, CT 06824
Phone (203) 293-0224

2 Corporate Dr
Ste 950
Shelton, CT 06484
Phone (203) 200-0617

Organizations & group practices 2

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1801498910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KARLAK ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832617",
            "telephone_number": "914-843-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KARLAK ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832617",
            "telephone_number": "914-843-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSUREAU-O'HARA",
        "first_name": "CASSANDRA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "O'HARA",
            "middle_name": "JOY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, CT

Sources for this page

Verify at the official NPI Registry.