CASSANDRA LEE CUMMINS MBS LPC
NPI 1275769937
Counselor in Poteau, OK
NPI Status: Active since June 08, 2009
Contact Information
804 S BROADWAY ST
POTEAU, OK
ZIP 74953
Phone: (918) 647-9629
Fax: (918) 649-0136
- Individual
- Female
- Years of Experience 21
- Counselor
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CASSANDRA CUMMINS
This page provides the complete NPI Profile along with additional information for Cassandra Cummins, a provider established in Poteau, Oklahoma with a medical specialization in Counselor and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1275769937 assigned on June 2009. The practitioner's primary taxonomy code is 101Y00000X with license number 3809 (OK). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1275769937
- Provider Name
- CASSANDRA LEE CUMMINS MBS LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 804 S BROADWAY ST POTEAU, OK 74953
- Location Phone
- (918) 647-9629
- Location Fax
- (918) 649-0136
- Mailing Address
- 804 S BROADWAY ST POTEAU, OK 74953
- Mailing Phone
- (918) 647-9629
- Mailing Fax
- (918) 649-0136
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-08-2009
- Last Update Date
- 11-01-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3809
- License State
- OK
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
- Harmony by Medica Catastrophic - PPO
- Harmony by Medica Catastrophic + Adult Eye Exam - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cassandra Cummins is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Cassandra Cummins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6406207992
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240506003532
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cassandra Cummins is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CHOCTAW NATION HEALTH SERVICES AUTHORITY | 1 CHOCTAW WAY TALIHINA, OK 74571 | (918) 567-7000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 7 | 6 | 9 | 9 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 14 | 6 | 18 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 4 + 6 + 1 + 8 + 9 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1275769937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881947489 | SERENITY COUNSELING, INC. Organization | Community/Behavioral Health | 804 S BROADWAY ST POTEAU, OK 74953 (580) 380-4285 |
| 1063748689 | ROXANNE ELIZABETH WATSON MS, LPC Individual | Counselor (Mental Health) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1528489622 | MAKAILYN WILLIAMS BS Individual | Counselor (Mental Health) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1194176867 | MARCI BAUER Individual | Case Manager/Care Coordinator | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9269 |
| 1255602553 | MRS. DANA RENE THOMPSON LPC Individual | Counselor (Mental Health) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1316205552 | MR. JASON FLOYD Individual | Case Manager/Care Coordinator | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1578903829 | HEIDI ANNETTE LOYD Individual | Case Manager/Care Coordinator | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1346823424 | JAYDEN A POTTER Individual | Case Manager/Care Coordinator | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1780121160 | MIRANDA CRASE Individual | Social Worker (Clinical) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1073718375 | CHERI STAHLMAN MS, LPC Individual | Counselor | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1508171752 | MRS. STEPHANIE MARIE DIAMOND M.ED., LPC Individual | Counselor (Professional) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 208-4116 |
| 1750720090 | KRISTI MCCONNELL LPC Individual | Counselor | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
| 1821293028 | CHRIS BENSON LPC Individual | Counselor (Mental Health) | 804 S BROADWAY ST POTEAU, OK 74953 (918) 647-9629 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275769937, enumerated in the NPI registry as an "individual" on June 08, 2009
The provider is located at 804 S Broadway St Poteau, Ok 74953 and the phone number is (918) 647-9629
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider has more than 21 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
The practitioner is affiliated to the following hospital(s): CHOCTAW NATION HEALTH SERVICES AUTHORITY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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