Provider Demographics
NPI:1275605735
Name:CASS BARRETT INC
Entity Type:Organization
Organization Name:CASS BARRETT INC
Other - Org Name:DBA PATHWAYS COUNSELING CENTER OTHER KATHLEEN A CASS BARRETT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT DIRECTOR THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP LADC ACRPS
Authorized Official - Phone:402-896-8933
Mailing Address - Street 1:13319 COTTNER STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1715
Mailing Address - Country:US
Mailing Address - Phone:402-896-8933
Mailing Address - Fax:402-896-0750
Practice Address - Street 1:13319 COTTNER STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1715
Practice Address - Country:US
Practice Address - Phone:402-896-8933
Practice Address - Fax:402-896-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE136101YA0400X
NE353101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
84329OtherBLUE CROSS BLUE SHIELD