CANDICE SMITH (NPI# 1164067088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164067088 |
| Entity Type | Individual |
| Full Name | CANDICE SMITH |
| Credential | LPC |
| Practice Address |
3336 E Chandler Heights Rd Ste 123 Gilbert AZ 85298-4263 |
| Mailing Address |
5906 S Robins Way Chandler AZ 85249-3648 |
| Practice Telephone | 4803728597 |
| Practice Fax Number | 4804986838 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-18194 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-18194 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-18194 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861732133 | Candice Rene Smith | Physical Therapy Assistant | 9751 W 85th St, Apt A, Overland Park, KS 66212-4516 | 2013-02-25 |
| 1487835567 | Candice Smith | Social Worker | 16067 M. L. K. Dr., Tchula, MS 39169-0518 | 2007-11-17 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1861053506 | Candice Renee Smith | Social Worker | 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101 | 2019-06-24 |
| 1053881359 | Candice Smith | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-11-29 |
| 1972001105 | Candice Smith | Social Worker | 2401 Hartman St, Richmond, VA 23223-2458 | 2018-01-23 |
| 1578093308 | Candice Smith | Counselor | 2653 W Ogden Ave Fl 2, Chicago, IL 60608-1647 | 2017-06-14 |
| 1114462231 | Candice Lin Smith | Psychologist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-12-28 |
| 1285097345 | Candice Rachel Smith | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2016-04-05 |
| 1306225008 | Candice Smith | Nurse Practitioner | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-05-27 |
| Street Address |
3336 E CHANDLER HEIGHTS RD STE 123 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286908 | Megan Leonhardt Heywood | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-07-01 |
| 1093316978 | Erica E Escobedo | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-11-05 |
| 1407456759 | Kathryn Vandehei | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-10-27 |
| 1235756446 | Allison Moye | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-07-03 |
| 1952927840 | Yessenia Castillo | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-06-17 |
| 1083237077 | Aspiring Change, Pllc | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-05-25 |
| 1396372371 | Robert Mcclellan | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-03-27 |
| 1740816446 | True Direction Counseling Pllc | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-03-14 |
| 1871138719 | Innerconnect Enterprises, LLC | Community/Behavioral Health | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-11-14 |
| 1346802873 | Ronda Lantz | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154429 | Billie Moffit | Counselor | 2730 S Val Vista Dr Ste 135, Gilbert, AZ 85295-1681 | 2020-04-29 |
| 1871132407 | Misty Rayne Romney | Counselor | 3630 E Leslie Dr, Gilbert, AZ 85296-2862 | 2019-12-30 |
| 1902445521 | Lisa M Hollebeek | Counselor | 3370 S Mercy Rd Ste 218, Gilbert, AZ 85297-0414 | 2019-12-30 |
| 1700424645 | Jessica Lambros | Counselor | 3651 E Baseline Rd # E120, Gilbert, AZ 85234-2689 | 2019-12-11 |
| 1952954356 | Diana Hernandez | Counselor | 1206 E Warner Rd Ste 220, Gilbert, AZ 85296-3144 | 2019-07-24 |
| 1134786965 | Wayne Arthur Formica | Counselor | 4767 E Woodside Way, Gilbert, AZ 85297-7479 | 2019-05-28 |
| 1548826258 | Natalie Summit | Counselor | 2325 W Guadalupe Rd Ste 107, Gilbert, AZ 85233-2811 | 2019-05-17 |
| 1033676747 | Darlene K Anderson | Counselor | 4301 E Harvard Ave, Gilbert, AZ 85234-7550 | 2019-02-28 |
| 1962988477 | Lindsay Greenman | Counselor | 459 N Gilbert Rd Ste B140, Gilbert, AZ 85234-4750 | 2018-07-17 |
| 1578061594 | Stephanie Millar-haskell | Counselor | 910 S Annie Ln, Gilbert, AZ 85296-1442 | 2018-01-24 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.