CASSANDRA LEANNE BAXTER MACC
NPI 1124806898
Counselor - Mental Health in Chicago, IL

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
3411 W DIVERSEY AVE, CHICAGO, IL 60647(224) 534-0331 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cassandra Leanne Baxter Macc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA LEANNE BAXTER MACC (NPI 1124806898) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.011145) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124806898
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA LEANNE BAXTERCredential: MACC
Location Address3411 W DIVERSEY AVEChicago, IL 60647-1245
Mailing Address1501 N Talman AveChicago, IL 60622-7353 · (773) 494-3733
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1124806898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.011145
3411 W DIVERSEY AVE, Chicago, IL 60647

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Leanne Baxter Macc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830605351
PECOS Enrollment IDI20250722002282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Baxter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3411 W DIVERSEY AVE, SUITE 8
CHICAGO, IL 60647
Social Worker (Clinical)
3411 W DIVERSEY AVE
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Baxter's NPI number?

The NPI number for Cassandra Baxter is 1124806898. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Cassandra Baxter located?

Cassandra Baxter practices at 3411 W Diversey Ave, Chicago, IL 60647. The listed phone number is (224) 534-0331.

What is Cassandra Baxter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cassandra Baxter enrolled in Medicare?

Yes. Cassandra Baxter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Cassandra Baxter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Baxter reassigns Medicare benefits to Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassandra Baxter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cassandra Baxter was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.