Individual provider Active NPI

Cassandra Rose Hindman, LCPC

  • Mental Health Counselor
  • Anaconda, MT
National Provider Identifier
1720816580
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-69985 Issued in MT
Practice address
1017 E 4TH St
Anaconda, MT 59711-2607
Phone
(406) 792-6110
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BBH-LCPC-69985 MT
Mental Health Counselor 101YM0800X BBH-LCPC-69985 MT Primary
Professional Counselor 101YP2500X BBH-LCPC-69985 MT

Addresses

Primary practice location

1017 E 4TH St
Anaconda, MT 59711-2607

Mailing address

1017 E 4TH St
Anaconda, MT 59711-2607
Phone (406) 792-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250328000197 IA Practitioner - Mental Health Counselor 0244753424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Iowa Mental Health CenterGroup PAC ID 1355230475, 9 clinicians

Practice addresses (Care Compare)

905 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-69985MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Iowa Mental Health Center CurrentSince Feb 24, 2025 Accepting new patients
United Community Services, Inc. PastSince Feb 24, 2025 Accepting new patients

Locations

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1720816580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E 4TH ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112607",
            "telephone_number": "406-792-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E 4TH ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112607",
            "telephone_number": "406-792-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "CASSANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-LCPC-69985",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-69985",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-69985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.