Individual provider Active NPI

Cassandra Jean Beyers, MA, LPCC

  • Professional Counselor
  • Brooklyn Center, MN
National Provider Identifier
1730830068
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3157 Issued in MN
Practice address
5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Phone
(763) 569-5228
Fax
(763) 569-5240
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 3157 MN Primary

Addresses

Primary practice location

5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322

Mailing address

5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Phone (763) 569-5201

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
I20240516001075 MN Practitioner - Mental Health Counselor 7214378694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3157MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Youable Emotional Health Services CurrentSince Jan 5, 2023 Accepting new patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients

Locations

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

5910 Shingle Creek Pkwy
Minneapolis, MN 55430
Phone (763) 569-5200

3875 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 270-5828

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

4570 Churchill St
Ste 300
Shoreview, MN 55126
Phone (651) 451-1071

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1730830068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 SHINGLE CREEK PKWY",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302322",
            "telephone_number": "763-569-5201",
            "fax_number": "763-569-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 SHINGLE CREEK PKWY",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302322",
            "telephone_number": "763-569-5228",
            "fax_number": "763-569-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERS",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.