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Heather M Cassidy

Counselor

Behavioral Health & Social Service Providers

1550 American Blvd E Ste 550, Bloomington, MN 55425-1139

PECOS Enrollment

This provider is enrolled in PECOS as HEATHER CASSIDY.

Based on the most recent information from CMS, provider Heather M Cassidy is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1285131359
Provider Type
Individual
Full Name
Cassidy, Heather M
Credential
MS, LPCC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2018
Last Updated
10/14/2024

Contact Information

Practice Location

1550 American Blvd E Ste 550, Bloomington, MN 55425-1139

(612) 268-5858

(612) 268-5868

Mailing Location

7401 Metro Blvd Ste 250, Edina, MN 55439-3062

(612) 268-5858

(612) 268-5868

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 2251 Minnesota

Provider Identifiers

ID	Description	Issuer
ID 2251	Description Other	Issuer PROFESSIONAL LICENSE Minnesota

Heather M Cassidy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Abukar, Rahmo Ali

Omar, Alawi L

Mohamed, Abdirahman

Abas, Asha Abdi

Ali, Sahra

Farah, Rayan Feysal

Abdullahi, Abdiwadud Muse

Yussuf, Amar Deeq

Muse, Ayni J

Abshir, Sumayo