Catherine Kabasia LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CATHERINE KABASIA LLC

Doing business as

Catherine Kabasia LCSW
Catherine Kabasia LLC

Practice address

19 E Mountain St Ste 12
Fayetteville, AR 72701-6067

Phone

(479) 601-7577

NPI assigned

Mar 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Catherine Dimakatso Kabasia-Sello, LCSW

Title

Therapist/Owner

Phone

(479) 601-7577

Specialties & licenses 3

Addresses

Other names 2

• Catherine Kabasia LCSW Doing business as
• Catherine Kabasia LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine D Kabasia, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1487934766
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1043896913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MOUNTAIN ST STE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016067",
            "telephone_number": "479-601-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MOUNTAIN ST STE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016067",
            "telephone_number": "479-601-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE KABASIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KABASIA-SELLO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DIMAKATSO",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "479-601-7577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catherine Kabasia LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catherine Kabasia LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Nelson Catalina, MHPP
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• Grant Cates, PHARMD
• Jason Robert Cates, LCSW
• Samuel D Cates, DC
• Zoe Cattaneo
• John Cauldwell
• Lauri J Cavell, MED, CCC-SLP
• Timothy A Cavell, PH.D.
• Megan P Cawlfield

• Mental Health Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.