Active NPI
Cassandra Augustine
- Mental Health Counselor
- Fremont, NE
National Provider Identifier
1083494355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13637
- Practice address
- 2560 N Healthy Way
Fremont, NE 68025-2315 - Phone
- (402) 941-7245
- NPI assigned
- Oct 3, 2023
- Last updated
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13637 | NE | |
| Professional Counselor | 101YP2500X | 13637 | NE | |
| Mental Health Counselor | 101YM0800X | 13637 | NE | Primary |
Addresses
Primary practice location
2560 N Healthy Way
Fremont, NE 68025-2315
Mailing address
825 S 169TH St
Omaha, NE 68118-9300
Phone (402) 354-3370
Other practice location 1
10840 Old Mill Rd
Omaha, NE 68154-2646
Phone (402) 708-7385
Other practice location 2
11071 W Maple Rd
Omaha, NE 68164-2604
Phone (402) 932-8884
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13637 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- cassandra.augustine@direct.nmhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1083494355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S 169TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681189300",
"telephone_number": "402-354-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 N HEALTHY WAY",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252315",
"telephone_number": "402-941-7245"
}
],
"practiceLocations": [
{
"address_1": "10840 Old Mill Rd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681542646",
"country_code": "US",
"telephone_number": "402-708-7385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11071 W Maple Rd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681642604",
"country_code": "US",
"telephone_number": "402-932-8884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "13637",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "13637",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "13637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.