Kasandra Jo Anderson, LPC – Community Health Worker

Key facts

NPI: 1265075436
Entity type: Individual (NPI type 1)
Primary specialty: Community Health Worker 172V00000X
Practice address: 1305 Albion Ave
Burley, ID 83318
Phone: (208) 878-9178
Fax: (208) 878-9179
NPI assigned: Oct 21, 2019
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Aspenwood Counseling and Behavior Center Community/Behavioral Health Agency · Burley, ID · NPI 1518217983

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Aspenwood Counseling and Behavior Center		Current since Nov 9, 2025	Accepting new patients

Locations

1305 Albion Ave
Burley, ID 83318
Phone (208) 878-9178

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community Health Worker	172V00000X			Yes

Addresses

Primary practice location

1305 Albion Ave
Burley, ID 83318

Mailing address

1305 Albion Ave
Burley, ID 83318
Phone (208) 878-9178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2024.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1265075436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 ALBION AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-878-9178",
            "fax_number": "208-878-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ALBION AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-878-9178",
            "fax_number": "208-878-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KASANDRA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

All providers in Burley, ID · Community Health Worker in Idaho

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.