MRS. CASSONDRA BREANN MARTIN CRADC
NPI 1629877691
Counselor - Addiction (Substance Use Disorder) in Boonville, MO

Q: What is Cassondra Martin's NPI number?

The NPI number for Cassondra Martin is 1629877691. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Q: What is Cassondra Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Cassondra Martin was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 11, 2025

1415 W ASHLEY RD, BOONVILLE, MO 65233(660) 882-6547 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Cassondra Breann Martin Cradc NPPES

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

MRS. CASSONDRA BREANN MARTIN CRADC (NPI 1629877691) is an individual addiction (substance use disorder) provider in Boonville, Missouri, licensed in Missouri (13659) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1629877691

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. CASSONDRA BREANN MARTINCredential: CRADC

Location Address1415 W ASHLEY RDBoonville, MO 65233-2111

Mailing Address1415 W Ashley RdBoonville, MO 65233-2111 · (660) 882-6547

Phone(660) 882-6547

Sole ProprietorNo

Enumeration DateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1629877691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MO · 13659

1415 W ASHLEY RD, Boonville, MO 65233

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Other Providers at the Same Location NPPES 4

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

VALLEY HOPE SOLUTIONS, INC.

Family Medicine

1415 W ASHLEY RD
BOONVILLE, MO 65233

Cooper County (660) 882-6547

VALLEY HOPE ASSOCIATION

Substance Abuse Rehabilitation Facility

1415 W ASHLEY RD
BOONVILLE, MO 65233

Cooper County (660) 882-6547

JESSE BUEHLER CRAADC

Counselor (Addiction (Substance Use Disorder))

1415 W ASHLEY RD
BOONVILLE, MO 65233

Cooper County (660) 882-6547

VALLEY HOPE MEDICAL GROUP, LLC

Family Medicine

1415 W ASHLEY RD
BOONVILLE, MO 65233

Cooper County (660) 882-6547

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 Cassondra Martin's NPI number?

The NPI number for Cassondra Martin is 1629877691. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Cassondra Martin located?

Cassondra Martin practices at 1415 W Ashley Rd, Boonville, MO 65233. The listed phone number is (660) 882-6547.

What is Cassondra Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cassondra Martin was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.