Individual provider Active NPI

Cassandra Jean Misseldine, LPCC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1669313607
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5504 Issued in MN
Practice address
1114 Grand Ave
Saint Paul, MN 55105-2628
Phone
(612) 284-1848
Fax
(877) 292-0677
NPI assigned
Apr 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5504 MN Primary

Addresses

Primary practice location

1114 Grand Ave
Saint Paul, MN 55105-2628

Mailing address

1114 Grand Ave
Saint Paul, MN 55105-2628
Phone (612) 284-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260521002775 MN Practitioner - Mental Health Counselor 3072083880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1114 Grand Ave
Saint Paul, MN 55105-2628

145 Augusta Dr
Ocean View, DE 19970-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Down to Earth Therapy LLC Multi-Specialty CurrentSince Apr 14, 2026 Accepting new patients

Locations

1114 Grand Ave
Saint Paul, MN 55105
Phone (612) 284-1848

541 Selby Ave
Saint Paul, MN 55102
Phone (612) 284-1848

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": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1669313607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "612-284-1848",
            "fax_number": "877-292-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "612-284-1848",
            "fax_number": "877-292-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSELDINE",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.