CASSANDRA SISSOM L.P.C., L.C.P.C.
NPI 1427460906
Counselor - Professional in Edwardsville, IL

Active since June 02, 2014PECOS Enrolled
1063 S STATE ROUTE 157 STE 2-128, EDWARDSVILLE, IL 62025(618) 515-5890(866) 423-9057 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Oct 14, 2016 (2 updates tracked since 2016).

About Cassandra Sissom L.p.c., L.c.p.c. NPPES

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

CASSANDRA SISSOM L.P.C., L.C.P.C. (NPI 1427460906) is an individual professional provider in Edwardsville, Illinois, licensed in Missouri (2016036039) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427460906
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSANDRA SISSOMCredential: L.P.C., L.C.P.C.
Location Address1063 S STATE ROUTE 157 STE 2-128Edwardsville, IL 62025-3695
Mailing Address103 Pine Hollow LnCollinsville, IL 62234-4784 · (314) 479-4564
Fax(866) 423-9057
Sole ProprietorYes
Enumeration DateJune 2, 2014
Last NPPES UpdateAugust 23, 20252 updates tracked since enumeration
NPPES CertifiedAugust 23, 2025
NPI 1427460906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2016036039
1063 S STATE ROUTE 157 STE 2-128, Edwardsville, IL 62025

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra Sissom L.p.c., L.c.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Counselor (Professional)
1063 S STATE ROUTE 157 STE 2-128
EDWARDSVILLE, IL 62025

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 Sissom's NPI number?

The NPI number for Cassandra Sissom is 1427460906. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Cassandra Sissom located?

Cassandra Sissom practices at 1063 S State Route 157 Ste 2-128, Edwardsville, IL 62025. The listed phone number is (618) 515-5890.

What is Cassandra Sissom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cassandra Sissom enrolled in Medicare?

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

What insurance does Cassandra Sissom accept?

Health plans from Medica, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Cassandra Sissom 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 Cassandra Sissom was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.