Cassandra Jean Ledezma, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

87767 Issued in TX

Practice address

4081 De Zavala Rd Ste 201
Shavano Park, TX 78249-2082

Phone

(210) 326-7202

NPI assigned

Jul 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eleven Eleven Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shavano Park, TX
  • NPI 1255010948
  NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1093494775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 STAGECOACH BAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545904",
            "telephone_number": "210-326-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 DE ZAVALA RD STE 201",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492082",
            "telephone_number": "210-326-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDEZMA",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank K Kuwamura III, M.D.
• Kimberly Kay Lane
• Paula R Larson, M.D.
• Shahnila Latif, M.D.
• Robert Sok Le, PHARMD
• Conrad N Lekeaka, PHARMD
• David Stanley Levey, MD
• Little Smiles Studio Sa, PLLC
• Lea Lopez-Fagin, FNP
• Amber Paige Mahan, MSN, APRN, FNP-C

• Mental Health Counselor in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.