CASSAUNDRA C BOYD-REYNOLDS
NPI 1114498839
Counselor - Addiction (Substance Use Disorder) in Hamilton, OH

Q: What is Cassaundra Boyd-reynolds's NPI number?

The NPI number for Cassaundra Boyd-reynolds is 1114498839. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Cassaundra Boyd-reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since December 06, 2018PECOS EnrolledAccepts Medicare Assignment

1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011(513) 795-7557 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2024, Dec 8, 2022, Dec 6, 2018 (3 updates tracked since 2018).

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About Cassaundra C Boyd-reynolds NPPES

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

CASSAUNDRA C BOYD-REYNOLDS (NPI 1114498839) is an individual addiction (substance use disorder) provider in Hamilton, Ohio and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114498839

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCASSAUNDRA C BOYD-REYNOLDS

Location Address1910 FAIRGROVE AVE STE EHamilton, OH 45011-1930

Mailing Address1910 Fairgrove Ave Ste EHamilton, OH 45011-1930 · (513) 795-7557

Phone(513) 795-7557

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 6, 2018

Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1114498839 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

Also ListedSocial WorkerTaxonomy 104100000X

1910 FAIRGROVE AVE STE E, Hamilton, OH 45011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassaundra C Boyd-reynolds 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 ID6305361338

PECOS Enrollment IDI20250422002866

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 Cassaundra Boyd-reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modern Psychiatry And Wellness LLC

Same address

Adult Mental Health

1910 FAIRGROVE AVE STE E
Hamilton, OH 45011

Reassigned Medicare billing, Ohio enrollment
37 clinicians in this Medicare group

NPI 1225260888 (513) 795-7557

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.

GRIFFIN BARLAG

Counselor (Addiction (Substance Use Disorder))