Cassandra Jane Holdcroft, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011308 Issued in GA

Practice address

8422 Tank Corps Way
Fort Moore, GA 31905-7062

Phone

(706) 250-0988

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Cassandra Jane McCoy Former name

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  HI

  Medicare reassignment NPD
• Find the Path Counseling and Supervision

  • Mental Health Counselor
  • Fort Moore, GA
  • NPI 1750159125
  NPD Authorized official
• Cerebral Medical Group, a Professional Corporation

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1992355879
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1902362361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 TANK CORPS WAY",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "319057062",
            "telephone_number": "706-250-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 TANK CORPS WAY",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "319057062",
            "telephone_number": "706-250-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Koko Head Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968163210",
            "country_code": "US",
            "telephone_number": "706-250-0988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Cannon Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363014719",
            "country_code": "US",
            "telephone_number": "706-250-0988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2522 Cross Timbers Dr",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778405067",
            "country_code": "US",
            "telephone_number": "706-250-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDCROFT",
        "first_name": "CASSANDRA",
        "middle_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011308",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4644",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "MCCOY",
            "middle_name": "JANE",
            "credential": "ED.S, LPC, CPCS, MHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Henderson
• Michelle R. Henriques, PH.D., LCSW, LCDC
• Brendon Christopher Henry, MD
• Kassandra Hill, LICSW
• Reginald Hill, PSY. D., MSW, LCSW
• Beulette Yvonne Hooks, M.D.
• Kristina Houtchens
• Dorothy Lou Hudley, HYGIENIST
• Ashley N Hudson, PA-C
• Kevin Patrick Hudson, MD

• Mental Health Counselor in Fort Moore, GA
• Providers in Fort Moore, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.