Cassandra Dedoes, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022047 Issued in MI

Practice address

4124 56TH St SW Ste 4
Wyoming, MI 49418-9494

Phone

(616) 222-0631

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1134873367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WALL ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 56TH ST SW STE 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189494",
            "telephone_number": "616-222-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOES",
        "first_name": "CASSANDRA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Scott De Young, DDS
• Miranda Grace Deal, RDN
• Kileya Deb0Arge
• Jamie Lynn Decker, MA, LLP
• Kevin F Dedoe, NP
• Deepwood Afc LLC
• Lisa Degroot
• Alexander Paul Dehaan, D.O.
• Amanda K Dehaan, LMSW
• Jean Marie Deiss-Savage, AU.D.

• Mental Health Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.