Cassandra Marie Bates

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016730 Issued in MI

Practice address

519 S Park St
Kalamazoo, MI 49007-5117

Phone

(269) 383-0450

Fax

(269) 383-2006

NPI assigned

Feb 3, 2020

Last updated

Feb 3, 2020By 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

Other names 1

• Cassandra Marie Sangsland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

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  NPD Authorized official
• Cornerstone Christian Counseling PC

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  • NPI 1508090911
  NPD
• Kalamazoo Probation Enhancement Program

  dba Kpep

  • Addiction (Substance Use Disorder) Counselor
  • Kalamazoo, MI
  • NPI 1922498393
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1295366847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075117",
            "telephone_number": "269-383-0450",
            "fax_number": "269-383-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075117",
            "telephone_number": "269-383-0450",
            "fax_number": "269-383-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "SANGSLAND",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Richard Batek III, RPH
• Lavell Bates Ivory
• Martel Bates Ivory
• Martinae Bates Ivory
• Nechelle Bates Ivory
• Hunter Bates
• Jameshae Bates
• Lashawnda Bates, MSW
• Mandy Jo Bates, PA-C
• Rosalind Bates

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.