National Provider Identifier

Cassandra Gennuso, LCPC

Cassandra Gennuso, LCPC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 822-2117.

NPI 1134732886Orchard Park, NYMental Health Counselor

Profile Overview

NPI
1134732886
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 24, 2020
Last Updated
October 02, 2023

Practice Location

  • 3176 Abbott RD Unit 500
  • Orchard Park, NY 14127-1069

Phone: (716) 822-2117

Mailing Address

  • 870 East And West RD
  • West Seneca, NY 14224-3662

Specialties

  • Mental Health Counselor (101YM0800X)
  • Counselor (101Y00000X)
Full Record
NPI
1134732886
Entity Type
Individual
Last Name
Gennuso
First Name
Cassandra
Name Prefix
MS.
Credential
LCPC
Mailing Street Address
870 East And West RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3662
Mailing Country
US
Mailing Phone
(716) 481-0017
Practice Street Address
3176 Abbott RD Unit 500
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1069
Practice Country
US
Practice Phone
(716) 822-2117
Enumeration Date
August 24, 2020
Last Updated
October 02, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
October 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Counselor (101Y00000X)