Active NPI
Cassandra Castaneda, LAC
- Mental Health Counselor
- De Queen, AR
National Provider Identifier
1023830247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2409002
- Practice address
- 902 W Janssen Ave
De Queen, AR 71832-2235 - Phone
- (870) 279-3566
- Fax
- (870) 279-3566
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2409002 | AR | Primary |
Addresses
Primary practice location
902 W Janssen Ave
De Queen, AR 71832-2235
Mailing address
902 W Janssen Ave
De Queen, AR 71832-2235
Phone (870) 279-3566
Other practice location 1
600 Lelia St. Wing B, Office #4
Magnolia, AR 71753
Phone (870) 340-2636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2409002 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1023830247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 W JANSSEN AVE",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322235",
"telephone_number": "870-279-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 W JANSSEN AVE",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322235",
"telephone_number": "870-279-3566",
"fax_number": "870-279-3566"
}
],
"practiceLocations": [
{
"address_1": "600 Lelia St. Wing B, Office #4",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "AR",
"postal_code": "71753",
"country_code": "US",
"telephone_number": "870-340-2636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTANEDA",
"first_name": "CASSANDRA",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2409002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.