Individual provider Active NPI

Cassady Ayn Wenstrom

  • Addiction (Substance Use Disorder) Counselor
  • Woodland, CA
National Provider Identifier
1952913758
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1232760616 Issued in CA
Practice address
285 4TH St
Woodland, CA 95695-3501
Phone
(530) 662-2699
Fax
(530) 662-6918
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1232760616 CA Primary

Addresses

Primary practice location

285 4TH St
Woodland, CA 95695-3501

Mailing address

285 4TH St
Woodland, CA 95695-3501
Phone (530) 601-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1232760616CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yolo Wayfarer Center (Christian Mission) CurrentSince Aug 23, 2020 Accepting new patients
Yolo Wayfarer Center (Christian Mission) Current Accepting new patients

Locations

285 4th St
Woodland, CA 95695
Phone (530) 631-0814

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1952913758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-601-6685",
            "fax_number": "530-662-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-662-2699",
            "fax_number": "530-662-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSTROM",
        "first_name": "CASSADY",
        "middle_name": "AYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1232760616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.