Active NPI
Cassandra Covington Dewall, M.ED, LPC
- Mental Health Counselor
- Beaumont, TX
National Provider Identifier
1417567934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79475
- Practice address
- 8150 N. Major Dr.
Beaumont, TX 77713 - Phone
- (409) 898-0020
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79475 | TX | Primary |
Addresses
Primary practice location
8150 N. Major Dr.
Beaumont, TX 77713
Mailing address
3905 Pleasant Hill CT
Port Arthur, TX 77642-6843
Phone (409) 718-1197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79475 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1417567934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 PLEASANT HILL CT",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776426843",
"telephone_number": "409-718-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 N. MAJOR DR.",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77713",
"telephone_number": "409-898-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWALL",
"first_name": "CASSANDRA",
"middle_name": "COVINGTON",
"credential": "M.ED, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.