Mba Isatou Kassama

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6400 E Broad St FL 4
Columbus, OH 43213-2086

Phone

(614) 655-3345

NPI assigned

Dec 16, 2019

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fresh Start Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1093350951
  Medicare reassignment NPD
• Fresh Start Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1588263453
  NPD
• Access Counseling Services LLC

  • Community/Behavioral Health Agency
  • Middletown, OH
  • NPI 1073884524
  NPD (past)
• Access Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Middletown, OH
  • NPI 1245583673
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1770121220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132086",
            "telephone_number": "614-655-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132086",
            "telephone_number": "614-655-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4464 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055464",
            "country_code": "US",
            "telephone_number": "513-649-8008",
            "fax_number": "513-649-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAMA",
        "first_name": "MBA",
        "middle_name": "ISATOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasmo Transportation Services Inc
• Rita Wen Kaspar, PHD, RN, FNP-C
• Mark George Kasprovic, P.T.
• Hawi Kassa I
• Christian Kassahun
• Sophia Kassem, D.O.
• David F Kasserman, MD
• Asho Kassim
• Isra Ali Kassim
• Edmund Salim Kassis, MD

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.