Individual provider Active NPI

Cassandra Stewart, LPCC, LADC

  • Mental Health Counselor
  • Prior Lake, MN
National Provider Identifier
1376432898
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4400 Issued in MN
Practice address
2330 Sioux TRL NW
Prior Lake, MN 55372-9077
Phone
(952) 403-5241
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306637 MN
Mental Health Counselor 101YM0800X 4400 MN Primary

Addresses

Primary practice location

2330 Sioux TRL NW
Prior Lake, MN 55372-9077

Mailing address

13412 York Ave S
Burnsville, MN 55337-1843
Phone (763) 400-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20251024001930 MN Practitioner - Mental Health Counselor 8921596420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13412 York Ave S
Burnsville, MN 55337-1843

2330 Sioux TRL NW
Prior Lake, MN 55372-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306637MNMDAddiction (Substance Use Disorder) Counselor
4400MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shakopee Mdewakanton Sioux Community CurrentSince Aug 11, 2025 Accepting new patients

Locations

2360 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 233-2886

2330 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 496-6148

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1376432898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 YORK AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371843",
            "telephone_number": "763-400-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SIOUX TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729077",
            "telephone_number": "952-403-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CASSANDRA",
        "credential": "LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306637",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

Verify at the official NPI Registry.