KASSANDRIA MARTIN (NPI# 1194117077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194117077 |
| Entity Type | Individual |
| Full Name | KASSANDRIA MARTIN |
| Practice Address |
1701 White St Mccomb MS 39648-2711 |
| Practice Telephone | 6016842173 |
| Practice Fax Number | 6012494234 |
| Mailing Telephone | 6016842173 |
| Mailing Fax Number | 6012494234 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1701 WHITE ST |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932159423 | Jody Mcintyre | Marriage & Family Therapist | 1701 White St, Mccomb, MS 39648-2711 | 2006-05-12 |
| 1376144519 | Tameka Pinder | Registered Nurse | 1701 White St, Mccomb, MS 39648-2711 | 2020-11-04 |
| 1225637002 | Ariel Coleman | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-10-22 |
| 1821695313 | Sherrie Short | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-10-07 |
| 1013524396 | Catina Brigss | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-09-30 |
| 1114533288 | Lasontiga Forrest | Registered Nurse | 1701 White St, Mccomb, MS 39648-2711 | 2020-09-23 |
| 1831707439 | Vanessa L Gardner | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-07-20 |
| 1366069080 | Ramonda Copeland | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-06-29 |
| 1154947018 | Kimberly Hurst | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-06-17 |
| 1770104598 | Hanna Moak | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1225637002 | Ariel Coleman | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-10-22 |
| 1013524396 | Catina Brigss | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-09-30 |
| 1831707439 | Vanessa L Gardner | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-07-20 |
| 1366069080 | Ramonda Copeland | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-06-29 |
| 1154947018 | Kimberly Hurst | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-06-17 |
| 1952934929 | Julie Thibodeaux | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2020-02-19 |
| 1821649708 | Vernise Wansley | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2019-09-23 |
| Find all providers in MCCOMB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.