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CASSANDRA EDEN UNTIEDT LPC
NPI 1093598286
Counselor - Professional in Marion, VA

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
216 HOSPITAL AVE, MARION, VA 24354(276) 783-8185(276) 783-5030 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassandra Eden Untiedt Lpc NPPES

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

CASSANDRA EDEN UNTIEDT LPC (NPI 1093598286) is an individual professional provider in Marion, Virginia, licensed in Virginia (0701012744) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093598286
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSANDRA EDEN UNTIEDTCredential: LPC
Location Address216 HOSPITAL AVEMarion, VA 24354-3157
Mailing Address770 W Ridge RdWytheville, VA 24382-1187 · (276) 223-3200 · Fax (276) 223-0617
Phone(276) 783-8185
Fax(276) 783-5030
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1093598286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701012744
216 HOSPITAL AVE, Marion, VA 24354
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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

Cassandra Eden Untiedt Lpc 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 ID749624963
PECOS Enrollment IDI20240215002851
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 10

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

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
216 HOSPITAL AVE, ROOM 135
MARION, VA 24354
Smyth County (276) 378-7862
DENISHA RENEE COOK LCSW
Social Worker (Clinical)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
JENNIFER DIANE TILSON LCSW
Social Worker (Clinical)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
PHILLIP HOWARD MOSER II LPC
Counselor (Professional)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
CARRIE LYNN FRYE LCSW
Social Worker (Clinical)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
LEAH ELIZABETH JACKSON LPC
Counselor (Professional)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
JOSHUA LEE JESSEE LCSW
Social Worker (Clinical)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185
NICOLE ALBANO CLARK LPC
Counselor (Professional)
216 HOSPITAL AVE
MARION, VA 24354
Smyth County (276) 783-8185

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 Cassandra Untiedt's NPI number?

The NPI number for Cassandra Untiedt is 1093598286. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Cassandra Untiedt located?

Cassandra Untiedt practices at 216 Hospital Ave, Marion, VA 24354. The listed phone number is (276) 783-8185.

What is Cassandra Untiedt's specialty?

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

Is Cassandra Untiedt enrolled in Medicare?

Yes. Cassandra Untiedt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cassandra Untiedt was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.