Individual provider Active NPI

Cassandra Prieksat, CADC TEMP

  • Addiction (Substance Use Disorder) Counselor
  • Le Mars, IA
National Provider Identifier
1215383195
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T16068 Issued in IA
Practice address
19 Lincoln St SE
Le Mars, IA 51031-3645
Phone
(712) 546-7868
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T16068 IA Primary

Addresses

Primary practice location

19 Lincoln St SE
Le Mars, IA 51031-3645

Mailing address

19 Lincoln St SE
Le Mars, IA 51031-3645
Phone (712) 546-7868

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

LicenseStateTypeSpecialty
T16068IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Recovery Centers, Inc. Past Accepting new patients
Beyond Chiropractic LLC PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1215383195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LINCOLN ST SE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313645",
            "telephone_number": "712-546-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LINCOLN ST SE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313645",
            "telephone_number": "712-546-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEKSAT",
        "first_name": "CASSANDRA",
        "credential": "CADC TEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T16068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.