Cassy Kelly, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CASSY KELLY, LLC

Practice address

7221 W 79TH St Ste 105
Overland Park, KS 66204-2906

Phone

(913) 444-0083

NPI assigned

Jul 21, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey M Deister

Title

Credentialer

Phone

(816) 365-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casandra Joyce Kelly, LCSW

  • Clinical Social Worker
  • Overland Park, KS
  • NPI 1255646105
  Medicare reassignment NPD
• Hope Suzanne Baier-Cannon, LSCSW

  • Clinical Social Worker
  • Mission, KS
  • NPI 1164551818
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1285369371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W 79TH ST STE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042906",
            "telephone_number": "913-444-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W 79TH ST STE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042906",
            "telephone_number": "913-444-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSY KELLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "DEISTER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "816-365-4070"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004819650001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan C Casey
• Janna Cash Gilner, MA, LCPC, RPT
• Mylan Cason
• Kayla Ann Casper, LMSW
• Cass Wellness LLC
• Renaldo Castaldi Jr.
• Mayra J Castaneda, PTA
• Pierre Castera, M.D.
• Nancy Julissa Castillo, LMLP-T
• Lisa M Castro, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.