Active NPI
Kassidi McKayla Kaminski, LCSW
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106027
- Practice address
- 8500 N Mopac Expy Ste 601
Austin, TX 78759-8347 - Phone
- (713) 494-2224
- NPI assigned
- Apr 15, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 106027 | TX | |
| Clinical Social Worker | 1041C0700X | 106027 | TX | Primary |
Addresses
Primary practice location
8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Mailing address
8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Phone (713) 494-2224
Other practice location 1
11551 Forest Central Dr Ste 202
Dallas, TX 75243-3920
Phone (844) 824-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| 106027 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
Locations
11551 Forest Central Dr
Ste 202
Dallas, TX 75243
Phone (817) 751-7802
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417
Organizations & group practices 1
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": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1487408464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 N MOPAC EXPY STE 601",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598347",
"telephone_number": "713-494-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 N MOPAC EXPY STE 601",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598347",
"telephone_number": "713-494-2224"
}
],
"practiceLocations": [
{
"address_1": "11551 Forest Central Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752433920",
"country_code": "US",
"telephone_number": "844-824-8775",
"fax_number": "281-648-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMINSKI",
"first_name": "KASSIDI",
"middle_name": "MCKAYLA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "106027",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.