Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie-Marie Cassidy

Individual provider Mental Health Counselor · NPI 1568113538

Kellie-Marie Cassidy is a Mental Health Counselor in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

443 Jackson Ave
Mineola, NY 11501-2212
Phone: (516) 712-4665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 017516 (NY)

Record details

NPI number1568113538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address443 Jackson Ave, Mineola, NY 11501-2212

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