Individual provider Active NPI

Cassandra Jones, LPCC, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Morehead, KY
National Provider Identifier
1487139267
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
268933 Issued in KY
Practice address
420 Sharkey Rd
Morehead, KY 40351-9719
Phone
(606) 356-6018
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 262442 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 268933 KY Primary

Addresses

Primary practice location

420 Sharkey Rd
Morehead, KY 40351-9719

Mailing address

420 Sharkey Rd
Morehead, KY 40351-9719
Phone (606) 356-6018

Other practice location 1

224 E Main St
Morehead, KY 40351-2116
Phone (606) 356-6018

Other practice location 2

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other identifiers 2

IdentifierTypeStateIssuer
14667242OtherKYCAQH
7100713780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240112002304 KY Practitioner - Mental Health Counselor 2769833805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268933KYMDAddiction (Substance Use Disorder) Counselor
262442KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Care Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Mountain Comprehensive Care Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

Organizations & group practices 2

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1487139267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SHARKEY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403519719",
            "telephone_number": "606-356-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SHARKEY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403519719",
            "telephone_number": "606-356-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 E Main St",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403512116",
            "country_code": "US",
            "telephone_number": "606-356-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Front Ave",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531614",
            "country_code": "US",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CASSANDRA",
        "credential": "LPCC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "262442",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "268933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14667242",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100713780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.