Cassandra Kimball · Professional Counselor

4940 Eastern Avenue, Community Psychiatry Program, Baltimore, MD 21224

Overview

Cassandra Kimball is a Professional Counselor practicing in Baltimore, Maryland. The National Provider Identifier (NPI) is #1528527124, which was assigned on March 14, 2019, and the registration record was last updated on December 11, 2025. The practitioner's main practice location is at 4940 Eastern Avenue, Community Psychiatry Program, Baltimore, MD 21224; the contact telephone number is 4105502996. The primary taxonomy of Cassandra Kimball is Professional Counselor (101YP2500X), with specialization in Professional. Cassandra Kimball is licensed to practice in the state of Maryland (#LC3973).

Provider Information

NPI 1528527124
Entity Type Individual
Provider Name CASSANDRA KIMBALL
Gender Female
Practice Address 4940 Eastern Avenue
Community Psychiatry Program
Baltimore
MD 21224
Practice Telephone 4105502996
Mailing Address 4940 Eastern Avenue
Community Psychiatry Program
Baltimore
MD 21224
Mailing Telephone 4105502996
Certification Date 2025-12-11
Enumeration Date 2019-03-14
Last Update Date 2025-12-11
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 8820431422
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name CASSANDRA KIMBALL
Primary Specialty MENTAL HEALTH COUNSELOR
Organization Legal Name FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC
Address 44 E Gordon St
Bel Air
MD 21014-2916

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YP2500XCounselorProfessionalLC3973MD

Taxonomy Information

Primary Taxonomy

Code 101YP2500X
Taxonomy Professional Counselor
Classification Counselor
Specialization Professional
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Location Information

Street Address 4940 EASTERN AVENUE
COMMUNITY PSYCHIATRY PROGRAM
City BALTIMORE
State MD
Zip Code 21224
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alessandra Elena Cabrera 4940 Eastern Avenue, 3rd Floor Suite P3-4-11, Baltimore, MD 21224Student in an Organized Health Care Education/Training Program2020-03-24
Aida Kamalian 4940 Eastern Avenue; Internal Medicine Clinic, Baltimore, MD 21224Student in an Organized Health Care Education/Training Program2025-03-25

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Maria Jeanette Daza Pahilanga · Maria Pahilanga 5505 Hopkins Bayview Circle, Baltimore, MD 21224Psychiatric/Mental Health Nurse Practitioner2025-06-10
Amit Kashyap 1211 S Conkling St Apt 145, Baltimore, MD 21224Family Medicine Physician2009-05-28
Autumn Pathways Inc 101 N Haven St, Third Floor Ste N, Baltimore, MD 21224Home Health Agency2025-08-28
Mansoor Ahmed Malik Johns Hopkins Bayview, 4940 Eastern Avenue, Alpha Commons 4th Floor, Baltimore, MD 21224Psychiatry Physician2006-06-12
Danielle Brazeal · Danielle Bassett 1501 S. Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224Clinical Social Worker2016-10-26
Occupational Health Centers of The Southwest, P.A. 1833 Portal Street, Baltimore, MD 21224Health Service Clinic/Center2006-08-05
Constellation Counseling, LLC 156 N Lakewood Ave, Baltimore, MD 21224-1143Professional Counselor2025-08-28
Latoya Jones White 2323 Orleans St, Baltimore, MD 21224-1020Family Nurse Practitioner2015-12-30
Peter Maciver 156 N Lakewood Ave, Baltimore, MD 21224-1143Clinical Psychologist2024-07-22
Nadiya Huber 3717 Boston Street, Suite 393, Baltimore, MD 21224Behavior Technician2025-08-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.