IndividualActive
Cassandra Sissom, L.P.C., L.C.P.C.
NPI 1427460906 · Professional Counselor · Edwardsville, IL
Provider details
- NPI number
- 1427460906
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- L.P.C., L.C.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2016036039 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1063 S State Route 157 Ste 2-128
Edwardsville, IL 62025-3695
Phone: (618) 515-5890
Fax: (866) 423-9057
Street-level locationGet directions
Mailing address
103 Pine Hollow Ln
Collinsville, IL 62234-4784
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2025-08-23
- Certified
- 2025-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.