Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSANDRA CHARLES-TABACCO
NPI 1811417082
Counselor - Professional in Stratford, CT

Q: What is Cassandra Charles-tabacco's NPI number?

The NPI number for Cassandra Charles-tabacco is 1811417082. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Q: What is Cassandra Charles-tabacco's specialty?

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

Active since June 20, 2017

2875 MAIN ST, STRATFORD, CT 06614(203) 993-1722 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2026, Jul 21, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

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About Cassandra Charles-tabacco NPPES

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

CASSANDRA CHARLES-TABACCO (NPI 1811417082) is an individual professional provider in Stratford, Connecticut, licensed in Connecticut (003622) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1811417082

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCASSANDRA CHARLES-TABACCO

Location Address2875 MAIN STStratford, CT 06614-4979

Mailing Address2875 Main StStratford, CT 06614-4979 · (203) 993-1722

Phone(203) 993-1722

Sole ProprietorNo

Enumeration DateJune 20, 2017

Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1811417082 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 CT · 003622

2875 MAIN ST, Stratford, CT 06614

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Other Identifiers 1

Medicaid06-0669106CT

Accepted Insurance

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

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 Charles-tabacco's NPI number?

The NPI number for Cassandra Charles-tabacco is 1811417082. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Cassandra Charles-tabacco located?

Cassandra Charles-tabacco practices at 2875 Main St, Stratford, CT 06614. The listed phone number is (203) 993-1722.

What is Cassandra Charles-tabacco's specialty?

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

What insurance does Cassandra Charles-tabacco accept?

Health plans from Providence Health Plan list Cassandra Charles-tabacco 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 Cassandra Charles-tabacco was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.