CASSI STARK LIMHP NPI 1912102310

NPI Information

NPI: 1912102310
Provider Name: CASSI STARK, LIMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1000 W 29TH ST STE 230
SOUTH SIOUX CITY, NE
ZIP 68776
Phone: (402) 913-0552
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Cassi Stark, LIMHP is a mental health counselor in South Sioux City, NE. Cassi Stark, LIMHP NPI is 1912102310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 W 29TH ST STE 230
SOUTH SIOUX CITY, NE
ZIP 68776-852
Phone: (402) 913-0552

The enumeration date for this NPI number is 6/18/2007 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1812	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	8324	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	082666	IOWA	No
4	101YM0800X	Counselor	Mental Health	854	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025953600	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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