MRS. CASSANDRA RICHARDSON (NPI# 1457809295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457809295 |
| Entity Type | Individual |
| Full Name | MRS. CASSANDRA RICHARDSON |
| Credential | MA EDS |
| Practice Address |
66 School St Logan WV 25601-9605 |
| Mailing Address |
66 School Street Logan WV 25601 |
| Practice Telephone | 3047922082 |
| Mailing Telephone | 3047922082 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
A3N129400126 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171997 | Cassandra Richardson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| 1396044939 | Cassandra T Richardson | Pharmacist | 5005 Mackay Rd, Jamestown, NC 27282-9398 | 2011-03-22 |
| 1073844544 | Cassandra Lynn Richardson | Counselor | 17200 W 10 Mile Rd, Suite 113, Southfield, MI 48075-2928 | 2010-01-23 |
| Street Address |
66 SCHOOL ST |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112296 | Jennifer Lynn Frazier | Psychologist | 66 School St, Logan, WV 25601-9605 | 2016-09-12 |
| 1306394010 | Staci Johnson | Psychologist | 66 School St, Monaville, Logan, WV 25601-9605 | 2016-09-12 |
| 1750469185 | Lothell Pack | Psychologist | 66 School St, Logan, WV 25601-9605 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112296 | Jennifer Lynn Frazier | Psychologist | 66 School St, Logan, WV 25601-9605 | 2016-09-12 |
| 1306394010 | Staci Johnson | Psychologist | 66 School St, Monaville, Logan, WV 25601-9605 | 2016-09-12 |
| 1467850792 | Nina Andrews | Psychologist | 2019 E Front St, Logan, OH 43138-9678 | 2014-12-18 |
| 1750469185 | Lothell Pack | Psychologist | 66 School St, Logan, WV 25601-9605 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1124570957 | Katie Hamm | Psychologist | 50 Underwood Cir, Mount Zion, WV 26151-8556 | 2016-10-27 |
| 1669922092 | Jonathan Shank | Psychologist | 813 Capitol St, Spencer, WV 25276-1924 | 2016-10-10 |
| 1255881082 | Lisha Tignor | Psychologist | 98 Carter Braxton Dr, Sutton, WV 26601-9592 | 2016-10-05 |
| 1437606068 | Tiffany Yancey | Psychologist | 197 Chestnut Street, Greenbrier County Schools, Lewisburg, WV 24901 | 2016-09-01 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1811355597 | New Beginnings Therapy Services, LLC | Psychologist | 220 S Walker St Ste A, Princeton, WV 24740-2747 | 2016-02-09 |
| 1104291681 | Ashley Booten | Psychologist | 501 22nd St, Dunbar, WV 25064-1711 | 2015-12-09 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1669875738 | Joe Testa | Psychologist | 34 Dorothy Ave, Wheeling, WV 26003-5217 | 2014-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.