Individual provider Active NPI

Cassandra D Sanders, LCPC

  • Professional Counselor
  • Clinton, MD
National Provider Identifier
1801433495
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10361 Issued in MD
Practice address
7915 Malcolm Rd
Clinton, MD 20735-1768
Phone
(240) 903-0841
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 LC10361 MD Primary

Addresses

Primary practice location

7915 Malcolm Rd
Clinton, MD 20735-1768

Mailing address

2502 Medinah Ridge Rd
Accokeek, MD 20607-3713
Phone (240) 286-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240412003069 DC Practitioner - Mental Health Counselor 0345689170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Accokeek, MD 20607
Phone (301) 233-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10361MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crzcares Counseling Services, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

938 E Swan Creek Rd
Ft Washington, MD 20744
Phone (202) 997-4771

Organizations & group practices 1

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": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1801433495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MEDINAH RIDGE RD",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073713",
            "telephone_number": "240-286-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 MALCOLM RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351768",
            "telephone_number": "240-903-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CASSANDRA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2021-04-22",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.