Kassandra Bishop
Individual provider Active NPI Marriage & Family Therapist · Sioux City, IA
NPI 1316657356 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1316657356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 115968 (IA)
- Practice address
- 411 Pearl St
Sioux City, IA 51101-1445 - Phone
- (818) 404-5125
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115968 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East West Therapy and Wellness LLC | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 115968 | IA | |
| Marriage & Family Therapist | 106H00000X | 115968 | IA | Yes |
Addresses
Primary practice location
411 Pearl St
Sioux City, IA 51101-1445
Mailing address
4700 Gordon Dr Ste 202
Sioux City, IA 51106-1911
Phone (818) 392-4611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115968 | Other | IA | STATE OF IOWA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hearttherapy.info/ |
Other providers in Sioux City, IA
- Brett C. Bieber
- Madison Jean Bieret
- Gillian M Biggerstaff
- Tana Bird
- Dwight L Birkley
- James A. Bjork
- Veronica Anne Bjornson
- Janet Black
- Shari L Black
- Blackburn Therapy Services Inc
All providers in Sioux City, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. 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.