Organization Active NPI

Kassandra McCune Enterprises, Inc

  • Mental Health Counselor
  • Saint Augustine, FL
National Provider Identifier
1679961403
Registry record updated Jan 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10498 Issued in FL
Legal business name
KASSANDRA MCCUNE ENTERPRISES, INC
Practice address
88 Riberia St
Suite 150
Saint Augustine, FL 32084-3300
Phone
(904) 392-9188
NPI assigned
Jan 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2015

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

Authorized official

Name
Kassandra Shugars McCune
Title
President
Phone
(904) 392-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH10498 FL Primary

Addresses

Primary practice location

88 Riberia St
Suite 150
Saint Augustine, FL 32084-3300

Mailing address

38 Grant St
Saint Augustine, FL 32084-2746

National Provider Directory

National Provider Directory

Locations

38 Grant St
St Augustine, FL 32084

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420070400000",
    "number": "1679961403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 RIBERIA ST",
            "address_2": "SUITE 150",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320843300",
            "telephone_number": "904-392-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSANDRA MCCUNE ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-01",
        "last_updated": "2015-01-01",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "SHUGARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-392-9188"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.