Active NPI
Michele Elena Cassity, MA, MFT, LSW
- Social Worker
- Muncie, IN
National Provider Identifier
1922264266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0030383
- Practice address
- 4221 N Broadway Ave
Muncie, IN 47303-1015 - Phone
- (765) 282-7150
- Fax
- (765) 282-9166
- NPI assigned
- Aug 6, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | 0030383 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
4221 N Broadway Ave
Muncie, IN 47303-1015
Mailing address
4221 N Broadway Ave
Muncie, IN 47303-1015
Phone (765) 282-7150
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0030383 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1922264266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 N BROADWAY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031015",
"telephone_number": "765-282-7150",
"fax_number": "765-282-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 N BROADWAY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031015",
"telephone_number": "765-282-7150",
"fax_number": "765-282-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSITY",
"first_name": "MICHELE",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "MA, MFT, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "0030383",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.