CASSIDY FAMULARO MS, LPCC, LADC
NPI 1023615242
Counselor - Professional in New Brighton, MN

Active since October 01, 2020PECOS Enrolled
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112(612) 706-9630 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Dec 30, 2021, Oct 1, 2020 (3 updates tracked since 2020).

About Cassidy Famularo Ms, Lpcc, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY FAMULARO MS, LPCC, LADC (NPI 1023615242) is an individual professional provider in New Brighton, Minnesota, licensed in Minnesota (2527) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023615242
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSIDY FAMULAROCredential: MS, LPCC, LADC
Location Address900 LONG LAKE RD STE 160New Brighton, MN 55112-6414
Mailing Address7627 10th Ave SMinneapolis, MN 55423-4572 · (952) 217-3291
Sole ProprietorYes
Enumeration DateOctober 1, 2020
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1023615242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 2527
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304573 (MN)
900 LONG LAKE RD STE 160, New Brighton, MN 55112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Famularo Ms, Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cassidy Famularo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
900 LONG LAKE RD, STE 106
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Acupuncturist
900 LONG LAKE RD STE 160
SAINT PAUL, MN 55112
Marriage & Family Therapist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Social Worker (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Marriage & Family Therapist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Psychologist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Famularo's NPI number?

The NPI number for Cassidy Famularo is 1023615242. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Cassidy Famularo located?

Cassidy Famularo practices at 900 Long Lake Rd Ste 160, New Brighton, MN 55112. The listed phone number is (612) 706-9630.

What is Cassidy Famularo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cassidy Famularo enrolled in Medicare?

Yes. Cassidy Famularo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassidy Famularo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassidy Famularo reassigns Medicare benefits to Medical Care Services, PA (New Brighton, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassidy Famularo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassidy Famularo accept?

Health plans from HealthPartners list Cassidy Famularo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassidy Famularo was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.