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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

LESLEY TODD CRNP
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1787
LOWER SHORE CLINIC, INC.
Community/Behavioral Health
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 341-3420
MARIAN SINCLAIR LCSW-C
Counselor (Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
MRS. IDA MARIA DACEY MSW LCSW
Social Worker (Clinical)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
MRS. PAULA COULBY TURNER LCSW-C
Social Worker (Clinical)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
MRS. JENNIFER DAWN HARDIN RN, LGSW
Social Worker
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
MS. JULIA R STRONG CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-2211
CORSICA RIVER MENTAL HEALTH SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
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.

When was this NPI record last updated?

The NPPES record for Kassandra Trala was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.