Kasandra Maria Washington, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

87530 Issued in TX

Practice address

129 Kodiak Dr
Round Rock, TX 78664-4073

Phone

(512) 917-0658

NPI assigned

May 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kasandra Maria Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1730937228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 KODIAK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644073",
            "telephone_number": "512-917-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 KODIAK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644073",
            "telephone_number": "512-917-0658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Fm 685 Ste 450",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607095",
            "country_code": "US",
            "telephone_number": "737-252-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KASANDRA",
        "middle_name": "MARIA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "BROWN",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele Lynn Wares, P.T.
• Marybeth Louise Wargo
• Diane L Warmoth, PA
• Eden Sonja Warrick, PA-C
• Berlina Washington
• Neah Washington, ACA, BC-HIS
• Wanda Washington
• Shelby E Wasil, PA-C
• Becca M Wassmuth
• David Matthew Watkins, MD

• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.