MR. JON ED KASSAW (M.A. LPCC) – Mental Health Counselor, NPI 1225181035
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JON ED KASSAW (M.A. LPCC)
2001 Colorado Ave
San Angelo, TX 769013905
Phone: (325) 944-2561
Fax: (325) 949-3594
Type: Location
3077 E LANDERS RD
2001 COLORADO ST.
SAN ANGELO, TX 769058896
Phone: (325) 944-2561
Fax: (325) 949-3594
Type: Mailing
PO BOX 807
ESTANCIA, NM 870160807
Phone: (505) 384-2777
Fax: (505) 384-2204
Type: Mailing
2001, Colorado Avenue, Santa Rita, San Angelo, Tom Green County, Texas, 76901, United States
SAN ANGELO, TX 769013905
Phone: (325) 944-2561
Fax: (325) 949-3594
Type: Location
903C 5TH STREET
ESTANCIA, NM 870160807
Phone: (505) 384-2777
Fax: (505) 384-2204
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: 2024-04-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240422003265 | I | Mental Health Counselor | NM | TBD |
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.
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 76901)
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