Cheryl L Fracasso, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60884412 Issued in WA

Practice address

555 Andover Park W Ste 200
Tukwila, WA 98188-3379

Phone

(253) 533-7527

Fax

(253) 330-8868

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cherylfracasso@tdh.allscriptsdirect.net

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.

• Northstar Wellness Associates

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1851166441
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1821573528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25722 135TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ANDOVER PARK W STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883379",
            "telephone_number": "253-533-7527",
            "fax_number": "253-330-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACASSO",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2023-11-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60884412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Foster, PMHNP-BC
• Jackie L. Foster, PA-C
• Brandy Marie Fouts, PHARMD.
• David Andrew Fowler, DC
• Tyler Fox
• Ramero Francis
• Pearl Franklin
• Kortne King Frederick, DDS, MDS
• Cullen Freeman
• Robert Joseph Freitas, DC

• Mental Health Counselor in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.