AMANDA NYCOLE KASSAY (NPI# 1811451677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811451677 |
| Entity Type | Individual |
| Full Name | AMANDA NYCOLE KASSAY |
| Other Name | AMANDA NYCOLE STROUTH |
| Credential | LPC |
| Practice Address |
113 Cumberland Road Cedar Bluff VA 24609-0810 |
| Mailing Address |
196 Cumberland Rd Cedar Bluff VA 24609-1137 |
| Practice Telephone | 2769646702 |
| Mailing Telephone | 2769646702 |
| Mailing Fax Number | 2769640292 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008067 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1014 Stillhouse Hollow Road, Grundy, VA 24614 | 2769646702 | |
| 578 Main Street, Tazewell, VA 24651 | 2769646702 | |
| 78 Rogers Street, Lebanon, VA 24266 | 2769646702 |
| Street Address |
113 CUMBERLAND ROAD |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609-0810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711473 | Emalene C Cook | Nurse Practitioner | 113 Cumberland Road, Cedar Bluff, VA 24609 | 2005-09-22 |
| 1962014928 | Courtney Amanda Taylor | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-08-20 |
| 1588276547 | Latoshia Renee Belcher | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-08-20 |
| 1699306563 | Kelly Leigh Gilliam | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-01-30 |
| 1265075493 | Misty Dawn Vance | Social Worker | 113 Cumberland Road, Cedar Bluff, VA 24609 | 2019-10-21 |
| 1801441019 | Veronica Gillespie Bales | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-08-05 |
| 1710532924 | Ashley Nicole Pruett | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-08-05 |
| 1447805650 | Lauren Michelle Lester | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-08-05 |
| 1952865701 | Sherry Kaye Faidley | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-01-25 |
| 1003391871 | Alissa Joi Deel | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046003 | Jimmie Marie Perkins | Counselor | 196 Cumberland Rd, Cedar Bluff, VA 24609-1137 | 2016-03-25 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1184762452 | Kelley Nicole Kinder | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2007-02-01 |
| 1386684215 | Jimmy D Widener | Counselor | Rte 19 - 460, Cedar Bluff, VA 24609 | 2006-06-08 |
| 1578503447 | Cynthia H Hale | Counselor | Rt 19 460, Cedar Bluff, VA 24609 | 2006-06-07 |
| 1962014928 | Courtney Amanda Taylor | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-08-20 |
| 1588276547 | Latoshia Renee Belcher | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-08-20 |
| 1699306563 | Kelly Leigh Gilliam | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2020-01-30 |
| 1801441019 | Veronica Gillespie Bales | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-08-05 |
| 1710532924 | Ashley Nicole Pruett | Counselor | 113 Cumberland Road, Cedar Bluff, VA 24609-0810 | 2019-08-05 |
| Find all providers in CEDAR BLUFF | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
Please comment or provide details below to improve the information on AMANDA NYCOLE KASSAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.