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BRIAN CASSIDY LPC
NPI 1760919633
Counselor - Professional in Anchorage, AK

Active since May 22, 2017PECOS Enrolled
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508(907) 729-5055(907) 729-5055 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, May 22, 2017 (2 updates tracked since 2017).

About Brian Cassidy Lpc NPPES

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

BRIAN CASSIDY LPC (NPI 1760919633) is an individual professional provider in Anchorage, Alaska, licensed in Alaska (120740) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anchorage, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1760919633
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRIAN CASSIDYCredential: LPC
Location Address4000 SAN ERNESTO AVEAnchorage, AK 99508-2874
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-8961 · Fax (907) 729-5180
Phone(907) 729-5055
Fax(907) 729-5055
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 22, 2017
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1760919633 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 AK · 120740
4000 SAN ERNESTO AVE, Anchorage, AK 99508
Open in Google Maps ↗

Secondary Practice Location 1

Location 14320 Diplomacy Dr Ste 1500Anchorage, AK 99508-5925 · Phone (907) 729-2500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Cassidy Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618462813
PECOS Enrollment IDI20251224000572
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 Brian Cassidy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southcentral Foundation
Same address
Community/Behavioral Health
4000 SAN ERNESTO AVE
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
NPI 1023611290 (907) 729-5020

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.

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
CLAUDETTE JEANNE LAMPLEY
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
EVELYN KEITH-ROBINSON
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
MRS. MICHELLE MARIE SANNER
Counselor (Mental Health)
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
COLIN MARK PETER
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5039
OSEI KWADWO BOATENG
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 720-5020
GIL CARR
Counselor (Mental Health)
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
MISS CAELEA RENEE HENDERSON
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020

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 Brian Cassidy's NPI number?

The NPI number for Brian Cassidy is 1760919633. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Brian Cassidy located?

Brian Cassidy practices at 4000 San Ernesto Ave, Anchorage, AK 99508. The listed phone number is (907) 729-5055.

What is Brian Cassidy's specialty?

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

Is Brian Cassidy enrolled in Medicare?

Yes. Brian Cassidy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Cassidy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Cassidy reassigns Medicare benefits to Southcentral Foundation (Anchorage, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Cassidy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Cassidy was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.