Active NPI
Cassandra Latisha Kennedy, RN REGISTERED NURSE
- Mental Health Counselor
- Tuscaloosa, AL
National Provider Identifier
1477287241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ALC05699
- Practice address
- 3802 Officer Trevor S Phillips Ave Ste a
Tuscaloosa, AL 35401-7051 - Phone
- (205) 722-7294
- NPI assigned
- Jul 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-091260 | AL | |
| Mental Health Counselor | 101YM0800X | ALC05699 | AL | Primary |
Addresses
Primary practice location
3802 Officer Trevor S Phillips Ave Ste a
Tuscaloosa, AL 35401-7051
Mailing address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000
Other practice location 1
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000 ext. 2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801846126 | Other | AL | GOVERNMENT |
Other names 1
- Ms. Cassandra Kennedy
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC05699 | AL | MD | Mental Health Counselor |
| 1-091260 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1477287241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OFFICER TREVOR S PHILLIPS AVE STE A",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354017051",
"telephone_number": "205-722-7294"
}
],
"practiceLocations": [
{
"address_1": "3701 Loop Rd",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354045015",
"country_code": "US",
"telephone_number": "205-554-2000 x2154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "CASSANDRA",
"middle_name": "LATISHA",
"name_prefix": "Ms.",
"credential": "RN REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-091260",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "ALC05699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOVERNMENT",
"identifier": "1801846126",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "KENNEDY",
"prefix": "MS.",
"credential": "ALC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.