Active NPI
Cassandra Jones, LPCC, LCADC
- Addiction (Substance Use Disorder) Counselor
- Morehead, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 268933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14667242 | Other | KY | CAQH |
| 7100713780 | Medicaid | KY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268933 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 262442 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Care Center, Inc. | Current | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Mental Health | Current | 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.
-
- Mental Health Counselor
- Prestonsburg, KY
- NPI 1760491674
-
- Federally Qualified Health Center (FQHC)
- Paintsville, KY
- NPI 1699386078
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.