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CASSANDRA STEWART LPCC, LADC
NPI 1376432898
Counselor - Mental Health in Prior Lake, MN

Active since June 30, 2025PECOS Enrolled
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372(952) 403-5241 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cassandra Stewart Lpcc, Ladc NPPES

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

CASSANDRA STEWART LPCC, LADC (NPI 1376432898) is an individual mental health provider in Prior Lake, Minnesota, licensed in Minnesota (4400) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376432898
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA STEWARTCredential: LPCC, LADC
Location Address2330 SIOUX TRL NWPrior Lake, MN 55372-9077
Mailing Address13412 York Ave SBurnsville, MN 55337-1843 · (763) 400-6162
Phone(952) 403-5241
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1376432898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 4400
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306637 (MN)
2330 SIOUX TRL NW, Prior Lake, MN 55372
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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 (PECOS)

Cassandra Stewart Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921596420
PECOS Enrollment IDI20251024001930
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 Stewart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shakopee Mdewakanton Sioux Community
Same address
Family Medicine
2330 SIOUX TRL NW
Prior Lake, MN 55372
  • Reassigned Medicare billing, Minnesota enrollment
  • 14 clinicians in this Medicare group
NPI 1013933381 (952) 496-6150

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 15

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

DENNIS NELSON BS, LADC
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6164
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Family Medicine
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6150
RACHEL GRANTHAM LADC
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6164
MS. SHARON K KETTLER RDH
Dental Hygienist
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6148
DR. BRIAN RICHARD BREWER PHD, LP
Psychologist
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6167
DR. SARA RAE BETTERLY WALLEN
Optometrist
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 233-2955
MRS. JULIE A MALNATI PA
Physician Assistant
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6150
KARLA WEBER
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6188

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 Stewart's NPI number?

The NPI number for Cassandra Stewart is 1376432898. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Cassandra Stewart located?

Cassandra Stewart practices at 2330 Sioux Trl NW, Prior Lake, MN 55372. The listed phone number is (952) 403-5241.

What is Cassandra Stewart's specialty?

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

Is Cassandra Stewart enrolled in Medicare?

Yes. Cassandra Stewart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Stewart reassigns Medicare benefits to Shakopee Mdewakanton Sioux Community (Prior Lake, MN). 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 Stewart'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 Stewart was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.