DR. JENNIE MAY CASSIDY PH.D.
NPI 1184752495
Psychologist - Group Psychotherapy in Conway, SC

Q: What is Jennie Cassidy's NPI number?

The NPI number for Jennie Cassidy is 1184752495. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Jennie Cassidy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Cassidy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 28, 2007Accepts Medicare Assignment

204 UNIVERSITY BLVD., COASTAL CAROLINA UNIVERSITY, CONWAY, SC 29528(843) 349-2305(843) 349-2898 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jennie May Cassidy Ph.d. NPPES

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

DR. JENNIE MAY CASSIDY PH.D. (NPI 1184752495) is an individual group psychotherapy provider in Conway, South Carolina, licensed in South Carolina (1042) and active in the NPI registry since February 2007. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1184752495

Entity TypeIndividualFemale

Primary Taxonomy103TP2701X

Provider Legal NameDR. JENNIE MAY CASSIDYCredential: PH.D.

Location Address204 UNIVERSITY BLVD., COASTAL CAROLINA UNIVERSITYConway, SC 29528-6054

Mailing Address280 Barclay DrMyrtle Beach, SC 29579-6572 · (843) 685-2125 · Fax (843) 349-2898

Phone(843) 349-2305

Fax(843) 349-2898

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateFebruary 28, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1184752495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

License✔ Licensed in SC · 1042

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Also ListedPsychologistTaxonomy 103T00000X · License 1042 (SC)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1042 (SC)

204 UNIVERSITY BLVD., Conway, SC 29528

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

Dr. Jennie May Cassidy Ph.d. 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 ID2163851759

PECOS Enrollment IDI20200402001370

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

247 services24 patients

Other Providers at the Same Location NPPES

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

COASTAL CAROLINA UNIVERSITY COUNSELING SERVICES

Community/Behavioral Health

204 UNIVERSITY BLVD.
CONWAY, SC 29528

Horry County (843) 349-2305

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 Jennie Cassidy's NPI number?

The NPI number for Jennie Cassidy is 1184752495. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Jennie Cassidy located?

Jennie Cassidy practices at 204 University Blvd. Coastal Carolina University, Conway, SC 29528. The listed phone number is (843) 349-2305.

What is Jennie Cassidy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Jennie Cassidy enrolled in Medicare?

Yes. Jennie Cassidy 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.

What insurance does Jennie Cassidy accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Jennie Cassidy 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 Jennie Cassidy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.