MEDICARE: CASSANDRA UNKRAUT LPCC-S, CST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.2202720	OH

General Provider Information

NPI Number	:	1366901381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA UNKRAUT LPCC-S, CST

Provider Business Mailing Address
First Line	:	7661 MONTGOMERY RD STE B
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4237
Country	:	US
Telephone Number	:	513-440-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	7661 MONTGOMERY RD STE B
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4237
Country	:	US
Telephone Number	:	513-440-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	12/10/2025

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