Kassidy Willimack, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

127869 Issued in IA

Practice address

PO Box 158
Calamus, IA 52729-0158

Phone

(563) 246-2222

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calamus Wheatland Community School District

  • Local Education Agency (LEA)
  • Calamus, IA
  • NPI 1528117231
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1437977972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 108TH AVE",
            "city": "OXFORD JUNCTION",
            "state": "IA",
            "postal_code": "523239619",
            "telephone_number": "563-210-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "CALAMUS",
            "state": "IA",
            "postal_code": "527290158",
            "telephone_number": "563-246-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 279",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "IA",
            "postal_code": "527770279",
            "country_code": "US",
            "telephone_number": "563-374-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIMACK",
        "first_name": "KASSIDY",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "127869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com/app/login/RISECounseling52205/",
            "affiliation": "N",
            "endpointDescription": "EHR System - Therapy Notes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ERH System - TherapyNotes",
            "address_1": "80 2nd St",
            "city": "Calamus",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527299001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Calamus Wheatland Community School District

• Mental Health Counselor in Calamus, IA
• Providers in Calamus, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.