Provider Demographics
NPI:1265090153
Name:ROBBINS, CASSANDRA DANYELLE (MA, LPC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:DANYELLE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 W LOVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2322
Mailing Address - Country:US
Mailing Address - Phone:513-334-7272
Mailing Address - Fax:
Practice Address - Street 1:422 W LOVELAND AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2322
Practice Address - Country:US
Practice Address - Phone:513-334-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-19-84764106S00000X
171M00000X
OHC.2304978101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-19-84764OtherRBT CERTIFICATE