KASSONDRA LYNN WILSON
NPI 1427422153
Counselor - Mental Health in Ellensburg, WA
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About KASSONDRA WILSON
This page provides the complete NPI Profile along with additional information for Kassondra Wilson, a provider established in Ellensburg, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1427422153 assigned on November 2015. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1427422153 Verify this NPI
- Provider Name
- KASSONDRA LYNN WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 201 S LOCUST ST ELLENSBURG, WA 98926
- Location Phone
- (206) 892-8325
- Location Fax
- (844) 848-7543
- Mailing Address
- 201 S LOCUST ST ELLENSBURG, WA 98926
- Mailing Phone
- (206) 892-8325
- Mailing Fax
- (844) 848-7543
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-18-2015
- Last Update Date
- 01-30-2023
- Code Navigator
A mental health counselor like Kassondra Wilson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kassondra Wilson opted out of Medicare effective on 05-28-2025 until 05-28-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-28-2025
Opt-Out End Date: 05-28-2027
Eligible to Order and Refer? No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427422153, enumerated as an "individual" on November 18, 2015.
The provider is located at 201 S LOCUST ST ELLENSBURG, WA 98926 and the phone number is (206) 892-8325.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
