JAMES J CASSIDY II LADC, CPC INTERN - NPI 1093167009

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About James J Cassidy Ii Ladc, Cpc Intern NPPES

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

JAMES J CASSIDY II LADC, CPC INTERN (NPI 1093167009) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (01512-L) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2012).

NPPES Registry Identity

NPI1093167009

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJAMES J CASSIDY IICredential: LADC, CPC INTERN

Location Address3602 E SUNSET RD, SUITE 100Las Vegas, NV 89120-7230

Mailing Address3602 E Sunset Rd, Suite 100Las Vegas, NV 89120-7230 · (702) 932-4308 · Fax (702) 837-8930

Phone(702) 932-4308

Fax(702) 837-8930

Sole ProprietorNo

Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2012

Enumeration DateJuly 1, 2016

✔ NPI 1093167009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NV · 01512-L

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CI0216 (NV)

3602 E SUNSET RD, Las Vegas, NV 89120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James J Cassidy Ii Ladc, Cpc Intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971944711

PECOS Enrollment IDI20240516001703

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.