Individual provider Active NPI

Cassandra Jean Thomas, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1558090076
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC.0017599 Issued in CO
Practice address
2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761
Phone
(970) 660-8048
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 LPCC.0017599 CO Primary

Addresses

Primary practice location

2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761

Mailing address

124 W 47TH PL
Loveland, CO 80538-1713
Phone (719) 246-2122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cassie@momentumcac.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241003001666 CO Practitioner - Mental Health Counselor 7012448863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flourish Counseling and Wellness LLCGroup PAC ID 5395276141, 3 clinicians

Practice addresses (Care Compare)

2629 Redwing Rd
Suite 280
Fort Collins, CO 80526-2879
Phone (970) 660-8048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0017599COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Counseling & Wellness LLC Professional CurrentSince Aug 21, 2024 Accepting new patients
Flourish Counseling & Wellness LLC Professional Current Accepting new patients
Empowering Hope, LLC PastSince Dec 8, 2024 Accepting new patients

Locations

3030 S College Ave
Unit 207
Fort Collins, CO 80525
Phone (970) 239-1320

2629 Redwing Rd
Ste 280
Fort Collins, CO 80526
Phone (970) 239-1217

Organizations & group practices 3

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1558090076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 47TH PL",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805381713",
            "telephone_number": "719-246-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-660-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0017599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cassie@momentumcac.com",
            "affiliation": "N",
            "endpointDescription": "cassie@momentumcac.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Milestone Dr Ste 103",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805255761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.