Individual provider Active NPI

Kassandra Lacayo

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1508241530
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
7400 SW 50TH Ter Ste 303
Miami, FL 33155-4487
Phone
(305) 305-0178
Fax
(305) 235-6178
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X
Social Worker 104100000X CBHCMS101096 FL
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

7400 SW 50TH Ter Ste 303
Miami, FL 33155-4487

Mailing address

7400 SW 50TH Ter Ste 303
Miami, FL 33155-4487
Phone (786) 592-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231214003903 FL Practitioner - Marriage and Family Therapist 1456780600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CBHCMS101096FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Care Community Center LLC Behavior Analyst CurrentSince Jan 1, 2024 Accepting new patients

Locations

10700 Caribbean Blvd
Ste 200
Cutler Bay, FL 33189
Phone (305) 305-0178

7400 SW 50th Ter
Ste 303
Miami, FL 33155
Phone (305) 305-0178

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1508241530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SW 50TH TER STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554487",
            "telephone_number": "786-592-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 50TH TER STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554487",
            "telephone_number": "305-305-0178",
            "fax_number": "305-235-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAYO",
        "first_name": "KASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCMS101096",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.