Cassandra Sissom, L.P.C., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016036039 Issued in MO

Practice address

1063 S State Route 157 Ste 2-128
Edwardsville, IL 62025-3695

Phone

(618) 515-5890

Fax

(866) 423-9057

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, MO, Professional

  Medicare reassignment NPD
• CLS Counseling & Consulting, PLLC

  • Professional Counselor
  • Edwardsville, IL
  • NPI 1497563993
  NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1427460906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PINE HOLLOW LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344784",
            "telephone_number": "314-479-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE ROUTE 157 STE 2-128",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253695",
            "telephone_number": "618-515-5890",
            "fax_number": "866-423-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSOM",
        "first_name": "CASSANDRA",
        "credential": "L.P.C., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016036039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Shin, DDS
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• Stacey Michelle Skillman Holtgrave
• Mark S Slaughter, PT

• Professional Counselor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.