CASSANDRA ANN FORSYTHE – Mental Health Counselor, NPI 1396435764

CASSANDRA ANN FORSYTHE is a healthcare provider. based in Cedar rapids, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 120468 (IA). The NPI Number for CASSANDRA ANN FORSYTHE is 1396435764

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA ANN FORSYTHE
NPI
1396435764
Phone
(319) 361-6529
Address
260 33RD AVE SW STE J
Enumeration Date
10 May 2023
Last Update Date
10 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193616529
Graduation Year
2023 (3 years ago)
PAC ID
9436661725
Group Practice PAC ID
2668504549
Professional Enrollment ID
I20250623003076
Address ID
IA524044646CE260XXSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for CASSANDRA ANN FORSYTHE

  • 260 33RD AVE SW STE J

    CEDAR RAPIDS, IA 524044646

    Phone: (319) 361-6529

    Mailing address matches the actual address.

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: 2025-06-23

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
I20250623003076IMental Health CounselorIATBD

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 52404)

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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: 2668504549View full group profile
NameSpecialtyState
Mental Health CounselorIA
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorIA

Reviews

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Frequently asked questions

What is the registry number for CASSANDRA ANN FORSYTHE?
The registry entry for CASSANDRA ANN FORSYTHE shows NPI 1396435764.
Should I treat CASSANDRA ANN FORSYTHE as an active provider?
Patients and plans typically see CASSANDRA ANN FORSYTHE as active in the national extract.
What type of care does CASSANDRA ANN FORSYTHE provide?
CASSANDRA ANN FORSYTHE's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CASSANDRA ANN FORSYTHE?
CASSANDRA ANN FORSYTHE is associated with Cedar Rapids, Iowa in the same public data insurers reference.
Why is information missing for CASSANDRA ANN FORSYTHE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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