Active NPI
Cassandra D Smith, M.S.
- Counselor
- Philadelphia, PA
National Provider Identifier
1922208065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3900 City Ave
Madison D307
Philadelphia, PA 19131-2908 - Phone
- (215) 877-7465
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PA | Primary |
Addresses
Primary practice location
3900 City Ave
Madison D307
Philadelphia, PA 19131-2908
Mailing address
3900 City Ave
Madison D307
Philadelphia, PA 19131-2908
Phone (215) 877-7465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19 | Other | PA | CBH |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1922208065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 CITY AVE",
"address_2": "MADISON D307",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312908",
"telephone_number": "215-877-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CITY AVE",
"address_2": "MADISON D307",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312908",
"telephone_number": "215-877-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CASSANDRA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBH",
"identifier": "19",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.