MRS. KASSANDRA MILLER MA, CIT, LPC
NPI 1740909779
Counselor - Professional in Wentzville, MO

Q: What is Kassandra Miller's NPI number?

The NPI number for Kassandra Miller is 1740909779. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Q: What is Kassandra Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kassandra Miller was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 23, 2022PECOS Enrolled

1032 CROSSWINDS CT, WENTZVILLE, MO 63385(844) 853-8937 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Jul 17, 2023, Aug 23, 2022 (3 updates tracked since 2022).

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About Mrs. Kassandra Miller Ma, Cit, Lpc NPPES

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

MRS. KASSANDRA MILLER MA, CIT, LPC (NPI 1740909779) is an individual professional provider in Wentzville, Missouri, licensed in Missouri (2023012405) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740909779

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KASSANDRA MILLERCredential: MA, CIT, LPC

Location Address1032 CROSSWINDS CTWentzville, MO 63385-4836

Mailing Address1369 Mason Grove DrSaint Charles, MO 63304-2666 · (507) 250-1817

Phone(844) 853-8937

Sole ProprietorNo

Enumeration DateAugust 23, 2022

Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1740909779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2023012405

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2023012405 (MO)

1032 CROSSWINDS CT, Wentzville, MO 63385

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Secondary Practice Locations 2

Location 11369 Mason Grove DrSaint Charles, MO 63304-2666 · Phone (507) 250-1817

Location 23900 S Old Highway 94 Ste 6Saint Charles, MO 63304-2800 · Phone (636) 344-6681

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.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)

Mrs. Kassandra Miller Ma, Cit, Lpc 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 20

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

MARY M CORRIGAN LCSW

Social Worker (Clinical)