Active NPI
Cassondra Cordova, MHP, LMHCA
- Counselor
- University Place, WA
National Provider Identifier
1619356797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 7610 40TH St W Ste 300
University Place, WA 98466 - Phone
- (253) 442-5079
- NPI assigned
- May 22, 2015
- 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 | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
7610 40TH St W Ste 300
University Place, WA 98466
Mailing address
7610 40TH St W Ste 300
University Place, WA 98466-3834
Other practice location 1
602 SW 38th St
Lawton, OK 73505-6912
Phone (580) 514-6142
Other practice location 2
602 SW 38th St
Lawton, OK 73505-6912
Phone (580) 514-6142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1619356797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 40TH ST W STE 300",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984663834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 40TH ST W STE 300",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "98466",
"telephone_number": "253-442-5079"
}
],
"practiceLocations": [
{
"address_1": "602 SW 38th St",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735056912",
"country_code": "US",
"telephone_number": "580-514-6142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 SW 38th St",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735056912",
"country_code": "US",
"telephone_number": "580-514-6142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDOVA",
"first_name": "CASSONDRA",
"credential": "MHP, LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
- Angel Rene Constante-Rodriguez, DPT
- John Alie Conteh, EDD., LMHC
- Continuum Therapeutics, LLC
- Alta Katherine Corcilius
- Cordial Palace Afh LLC
- Edward D Corley, DC
- Cornerstone Caregiving West LLC
- Bruce Edward Corns, LMP
- Cossmedic Wellness and Aesthetics PLLC (Cossmedic Wellness and Aesthetics)
- Dawnna J Cotton, P1 60035244
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.