ANEED KASSIM (LPC) – Counselor, NPI 1043038870

ANEED KASSIM (LPC) is a healthcare provider. based in Lithonia, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC015146 (GA). The NPI Number for ANEED KASSIM (LPC) is 1043038870

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANEED KASSIM (LPC)
NPI
1043038870
Phone
(205) 310-7486
Address
6175 HYDE PARK LN
Enumeration Date
1 October 2024
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7707203510
Graduation Year
2005 (21 years ago)
PAC ID
0749716637
Group Practice PAC ID
9032000245
Professional Enrollment ID
I20241216003575
Address ID
GA301148019CA191XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,200 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for ANEED KASSIM (LPC)

  • 6175 HYDE PARK LN

    LITHONIA, GA 300587976

    Phone: (205) 310-7486

    Type: Mailing

  • 1650 COUNTY SERVICES PKWY SW

    MARIETTA, GA 300084010

    Phone: (770) 514-2422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241216003575IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032000245View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
Nurse PractitionerGA
Clinical Social WorkerGA
Mental Health CounselorGA
Clinical Social WorkerGA
-GA
-AL
Mental Health CounselorGA
Nurse PractitionerGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

What NPI should I save for ANEED KASSIM (LPC)?
Save NPI 1043038870 if you need a stable reference for ANEED KASSIM (LPC).
Is ANEED KASSIM (LPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANEED KASSIM (LPC) work in?
You can think of ANEED KASSIM (LPC) as practicing within Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANEED KASSIM (LPC)?
The page summarizes Lithonia, Georgia for ANEED KASSIM (LPC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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