Individual provider Active NPI

Cassandra Klingenberg

  • Professional Counselor
  • Newton, KS
National Provider Identifier
1518722255
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1901 E 1St St
Newton, KS 67114-5010
Phone
(316) 284-6400
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1901 E 1St St
Newton, KS 67114-5010

Mailing address

1901 E 1St St
Newton, KS 67114-5010

Other practice location 1

7570 W 21st St N Ste 1026D
Wichita, KS 67205-1764
Phone (316) 284-6400

Other practice location 2

1102 Hospital Dr
McPherson, KS 67460-2318
Phone (316) 284-6400

Other practice location 3

508 S Ash St
Hillsboro, KS 67063-1559
Phone (316) 284-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20260603000532 KS Practitioner - Mental Health Counselor 0143791988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 SW Chelsea Dr
Topeka, KS 66614-1756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. PastSince Aug 6, 2012 Accepting new patients
Prairie View Inc Past Accepting new patients

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518722255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7570 W 21st St N Ste 1026D",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051764",
            "country_code": "US",
            "telephone_number": "316-284-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602318",
            "country_code": "US",
            "telephone_number": "316-284-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 S Ash St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "KS",
            "postal_code": "670631559",
            "country_code": "US",
            "telephone_number": "316-284-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGENBERG",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.