CASSANDRA JEAN MISSELDINE LPCC
NPI 1669313607
Counselor - Professional in Saint Paul, MN

Q: What is Cassandra Misseldine's NPI number?

The NPI number for Cassandra Misseldine is 1669313607. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Q: What is Cassandra Misseldine's specialty?

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

Active since April 03, 2026PECOS Enrolled

1114 GRAND AVE, SAINT PAUL, MN 55105(612) 284-1848(877) 292-0677 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cassandra Jean Misseldine Lpcc NPPES

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

CASSANDRA JEAN MISSELDINE LPCC (NPI 1669313607) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (5504) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669313607

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCASSANDRA JEAN MISSELDINECredential: LPCC

Location Address1114 GRAND AVESaint Paul, MN 55105-2628

Mailing Address1114 Grand AveSaint Paul, MN 55105-2628 · (612) 284-1848 · Fax (877) 292-0677

Phone(612) 284-1848

Fax(877) 292-0677

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 3, 2026

NPPES CertifiedApril 3, 2026

✔ NPI 1669313607 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 MN · 5504

1114 GRAND AVE, Saint Paul, MN 55105

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jean Misseldine Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072083880

PECOS Enrollment IDI20260521002775

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.

Leave this field empty

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.

KELSEY LUNDQUIST

Marriage & Family Therapist