Kassandra Trala, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

120 Banjo LN
Centreville, MD 21617-1002

Phone

(410) 758-2211

NPI assigned

Aug 19, 2021

Last updated

Sep 4, 2025By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corsica River Mental Health Services, Inc.Group PAC ID 0941497382, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corsica River Mental Health Services, Inc.

  • Adult Mental Health Clinic/Center
  • Centreville, MD
  • NPI 1396077749
  Medicare reassignment Care Compare group NPD
• Corsica River Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, MD
  • NPI 1154939296
  NPD
• Corsica River Mental Health Service, Inc.

  • Adult Mental Health Clinic/Center
  • Federalsburg, MD
  • NPI 1639603012
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1265108203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CORY RD",
            "city": "CHESAPEAKE CITY",
            "state": "MD",
            "postal_code": "219151729",
            "telephone_number": "610-952-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRALA",
        "first_name": "KASSANDRA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tralak@crmhsinc.com",
            "affiliation": "N",
            "address_1": "120 Banjo Ln",
            "city": "Centreville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216171002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tidewater Nutrition LLC
• Joseph C Titus, LCSW-C
• Angela Todd
• Lesley Todd, CRNP
• Steven Brian Toth III, RPH
• William Turley, LMSW
• Paula Coulby Turner, LCSW-C
• Jeffrey L Ukens, MD
• University of Maryland Community Medical Group, Inc.
• Kelly Van Sant, DC

• Mental Health Counselor in Centreville, MD
• Providers in Centreville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.