MRS. CASSANDRA ELLEN REIDT – Mental Health Counselor, NPI 1629633953

MRS. CASSANDRA ELLEN REIDT is a healthcare provider. based in Muncie, Indiana. specializing in MARRIAGE AND FAMILY THERAPIST. The NPI Number for MRS. CASSANDRA ELLEN REIDT is 1629633953

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CASSANDRA ELLEN REIDT
NPI
1629633953
Phone
(765) 284-0043
Address
1904 W ROYALE DR
Enumeration Date
2 May 2019
Last Update Date
2 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7652840043
Graduation Year
2020 (6 years ago)
PAC ID
6103336862
Group Practice PAC ID
3476928060
Professional Enrollment ID
I20250611001466
Address ID
IN473046356MU3301XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

125 MARRIAGE AND FAMILY THERAPIST in IN

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Provider Addresses for MRS. CASSANDRA ELLEN REIDT

  • 1904, West Royale Drive, Muncie, Delaware County, Indiana, 47304, United States

    MUNCIE, IN 473042264

    Phone: (765) 284-0043

    Fax: (765) 284-4112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250611001466IMarriage And Family TherapistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476928060View full group profile
NameSpecialtyState
Clinical PsychologistIN
Clinical PsychologistIN
Marriage And Family TherapistLA
Clinical Social WorkerIN
Mental Health CounselorIN

Reviews

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Frequently asked questions

How do I look up MRS. CASSANDRA ELLEN REIDT by NPI?
Use NPI 1629633953 when you need to reference MRS. CASSANDRA ELLEN REIDT in forms, claims, or directories.
Is MRS. CASSANDRA ELLEN REIDT active in the national directory?
MRS. CASSANDRA ELLEN REIDT's public NPI profile is in an active state.
What kind of provider is MRS. CASSANDRA ELLEN REIDT?
The page reflects Mental Health Counselor for MRS. CASSANDRA ELLEN REIDT. Clinical services aligned with this taxonomy classification.
Where is MRS. CASSANDRA ELLEN REIDT's primary listing?
We display Muncie, Indiana because that is what the record indicates for MRS. CASSANDRA ELLEN REIDT.
What if Muncie, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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