Cassandra Merrick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

20 E Tabb St Ste 205
Petersburg, VA 23803-4560

Phone

(804) 536-5066

Fax

(202) 545-3413

NPI assigned

Jun 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandramerrick@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.

• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  Single Specialty, VA

  Medicare reassignment NPD
• Living Life Supportive Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Petersburg, VA
  • NPI 1134958820
  NPD Authorized official
• Talk It Out Counseling Services LLC

  • Professional Counselor
  • Petersburg, VA
  • NPI 1285440560
  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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1912646142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E TABB ST STE 205",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034560",
            "telephone_number": "804-536-5066",
            "fax_number": "202-545-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TABB ST STE 205",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034560",
            "telephone_number": "804-536-5066",
            "fax_number": "202-545-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "CASSANDRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "0701011674",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1912646142",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912646142",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://headway.co/providers/cassandra-merrick?utm_source=pem&utm_medium=direct_link&utm_campaign=35563",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "325 B Brown St",
            "address_2": "Suite 104",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zebrina Meade
• Med-Trans Corporation
• Medarva Physician Services LLC
• Medstat Inc
• Michelle Luebehusen Mehfoud, MSPT
• Metro Gardens Enterprises, Inc
• Michael W Lane MD PC
• Midlothian Rehabilitation Associates PLLC
• Milan Bhagat, DMD, PLLC
• Jerry A Miles, DDS

• Professional Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.