Cassandra Omara Kostendt

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

541 Ledge St
San Marcos, CA 92078-2840

Phone

(760) 583-2524

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Socal Therapyworks, a Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • San Marcos, CA
  • NPI 1912511346
  NPD
• The Center of Resiliency, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burbank, CA
  • NPI 1316693138
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1225475882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTENDT",
        "first_name": "CASSANDRA",
        "middle_name": "OMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leonard Yoshio Koda, PH.D.
• Kathryn M Kohout, FNP
• Erin Anne Kolling, DDS
• Christine Koraiban, RN BSN LC
• Matthew John Kosel, PA-C
• George Koumaras, PHD
• Devyn Kowitz
• Matthew S Kozloff, M.D.
• Ariel Krakowsky, LCSW
• Jennifer Kreider, PHARMD

• Counselor in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.