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KASSANDRA TRALA LCPC
NPI 1265108203
Counselor - Mental Health in Centreville, MD

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment
120 BANJO LN, CENTREVILLE, MD 21617(410) 758-2211 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Aug 19, 2021 (2 updates tracked since 2021).

About Kassandra Trala Lcpc NPPES

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

KASSANDRA TRALA LCPC (NPI 1265108203) is an individual mental health provider in Centreville, Maryland and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265108203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASSANDRA TRALACredential: LCPC
Location Address120 BANJO LNCentreville, MD 21617-1002
Mailing Address22 Cory RdChesapeake City, MD 21915-1729 · (610) 952-7709
Phone(410) 758-2211
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 19, 2021
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1265108203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
120 BANJO LN, Centreville, MD 21617
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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

Kassandra Trala Lcpc 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 ID143712083
PECOS Enrollment IDI20251126002878
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 Kassandra Trala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Corsica River Mental Health Services, Inc.
Same address
Adult Mental Health
120 BANJO LN
Centreville, MD 21617
  • Reassigned Medicare billing, Maryland enrollment
  • 11 clinicians in this Medicare group
NPI 1396077749 (410) 758-2211

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 20

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

MISS ASHLEY MARIE MOGLE
Counselor (Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
MS. SUSAN K EAKINS LCSWC
Social Worker
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
ERIN ELIZABETH CAUGHEY
Registered Nurse
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (814) 327-2293
MS. JULIA R STRONG CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
TINA L CHAMPAGNE-GEORGE
Counselor (Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
LESLEY TODD CRNP
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1787
CROSSROADS COMMUNITY, INC.
Community/Behavioral Health
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-3050
KAREN MONROE FNP-C, PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211

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 Kassandra Trala's NPI number?

The NPI number for Kassandra Trala is 1265108203. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Kassandra Trala located?

Kassandra Trala practices at 120 Banjo Ln, Centreville, MD 21617. The listed phone number is (410) 758-2211.

What is Kassandra Trala's specialty?

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

Is Kassandra Trala enrolled in Medicare?

Yes. Kassandra Trala 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 Kassandra Trala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassandra Trala reassigns Medicare benefits to Corsica River Mental Health Services, Inc. (Centreville, MD). 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 Kassandra Trala'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 Kassandra Trala was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.