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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: August 02, 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 and is a graduate of Other (2017).

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
Phone(612) 706-9630
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931631942
PECOS Enrollment IDI20241016000057
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.

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.

DR. RACHEL ROSE HULKONEN PSY.D., L.P.
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
ABBEY MARIE KESSLER L.AC.
Acupuncturist
900 LONG LAKE RD STE 160
SAINT PAUL, MN 55112
Ramsey County (612) 706-9630
CIERA NEUFELD MA, LAMFT
Marriage & Family Therapist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
SUZANNE MARIA LEE CRAWFORD NATYSIN LICSW
Social Worker (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
CHRISTOPHER PFLEGHAAR
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
HEATHER ITES LPCC, LADC
Counselor (Mental Health)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
DR. JU-PING HUANG PHD, L.P
Psychologist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630
HEALTH AND WELLNESS COLLABORATIVE
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Ramsey County (612) 706-9630

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.

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 17 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.