CASSANDRA KIMBALL
NPI 1528527124
Counselor - Professional in Baltimore, MD

Active since March 14, 2019PECOS Enrolled
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM, BALTIMORE, MD 21224(410) 550-2996 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Mar 14, 2019 (2 updates tracked since 2019).

About Cassandra Kimball NPPES

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

CASSANDRA KIMBALL (NPI 1528527124) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC3973) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528527124
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSANDRA KIMBALL
Location Address4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAMBaltimore, MD 21224
Mailing Address4940 Eastern Avenue, Community Psychiatry ProgramBaltimore, MD 21224 · (410) 550-2996
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 14, 2019
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1528527124 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 MD · LC3973
4940 EASTERN AVENUE, Baltimore, MD 21224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8820431422
PECOS Enrollment IDI20240212000841
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 Kimball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4623 FALLS RD
Baltimore, MD 21209
  • Reassigned Medicare billing, Maryland enrollment
  • 17 clinicians in this Medicare group

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 20

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

Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Pediatrics
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Internal Medicine
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Social Worker (Clinical)
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM
BALTIMORE, MD 21224
Dietitian, Registered
4940 EASTERN AVENUE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, 301 BUILDING, ROOM 3112
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224

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 Kimball's NPI number?

The NPI number for Cassandra Kimball is 1528527124. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Cassandra Kimball located?

Cassandra Kimball practices at 4940 Eastern Avenue Community Psychiatry Program, Baltimore, MD 21224. The listed phone number is (410) 550-2996.

What is Cassandra Kimball's specialty?

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

Is Cassandra Kimball enrolled in Medicare?

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

Which organization bills Medicare for Cassandra Kimball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Kimball reassigns Medicare benefits to Family & Childrens Services Of Central Maryland Inc (Baltimore, MD). 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 Kimball'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 Kimball was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.