Individual provider Active NPI

Cassondra K McGinn, LPC

  • Mental Health Counselor
  • Jackson, MI
National Provider Identifier
1992008619
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011446 Issued in MI
Practice address
569 Wildwood Ave Unit 4
Jackson, MI 49201-1048
Phone
(734) 219-9636
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011446 MI
Mental Health Counselor 101YM0800X 6401011446 MI Primary

Addresses

Primary practice location

569 Wildwood Ave Unit 4
Jackson, MI 49201-1048

Mailing address

7787 Wooster Rd
Jackson, MI 49201-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231226000677 MI Practitioner - Mental Health Counselor 5496105991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Therapy PLLC Counselor CurrentSince Dec 20, 2023 Accepting new patients
Depression Healing Clinic Counselor Current Accepting new patients

Locations

569 Wildwood Ave
Unit 4
Jackson, MI 49201
Phone (517) 788-6404

Interoperability endpoints

  • Direct secure messaging: cmcginn445276@direct.hfhs.org

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1992008619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 WOOSTER RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 WILDWOOD AVE UNIT 4",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011048",
            "telephone_number": "734-219-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "CASSONDRA",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011446",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.