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KASSONDRA LYNN WILSON
NPI 1427422153
Counselor - Mental Health in Ellensburg, WA

Active since November 18, 2015Opted out of Medicare · through May 28, 2027
201 S LOCUST ST, ELLENSBURG, WA 98926(206) 892-8325(844) 848-7543 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 30, 2023, Sep 21, 2022, Nov 18, 2015 (3 updates tracked since 2015).

About Kassondra Lynn Wilson NPPES

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

KASSONDRA LYNN WILSON (NPI 1427422153) is an individual mental health provider in Ellensburg, Washington and active in the NPI registry since November 2015. She has opted out of Medicare through May 28, 2027.

NPPES Registry Identity

NPI1427422153
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASSONDRA LYNN WILSON
Location Address201 S LOCUST STEllensburg, WA 98926-9006
Mailing Address201 S Locust StEllensburg, WA 98926-9006 · (206) 892-8325 · Fax (844) 848-7543
Phone(206) 892-8325
Fax(844) 848-7543
Sole ProprietorYes
Enumeration DateNovember 18, 2015
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1427422153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
201 S LOCUST ST, Ellensburg, WA 98926
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kassondra Lynn Wilson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2025 through May 28, 2027.

Opt-Out Effective DateMay 28, 2025
Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kassondra Wilson's NPI number?

The NPI number for Kassondra Wilson is 1427422153. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Kassondra Wilson located?

Kassondra Wilson practices at 201 S Locust St, Ellensburg, WA 98926. The listed phone number is (206) 892-8325.

What is Kassondra Wilson's specialty?

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

Is Kassondra Wilson enrolled in Medicare?

No. Kassondra Wilson has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kassondra Wilson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kassondra Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassondra Wilson was last updated on January 30, 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.