MRS. CANDICE RACHEL SMITH (NPI# 1285097345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285097345 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE RACHEL SMITH |
| Other Name | CANDICE RACHEL TYNES |
| Credential | LPCA |
| Practice Address |
8512 Six Forks Rd Ste 101 Raleigh NC 27615-3256 |
| Mailing Address |
8316 Amber Lantern St Apartment 207 Raleigh NC 27613-4582 |
| Practice Telephone | 9194647398 |
| Mailing Telephone | 9194647398 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A12107 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS | A12107 | 01 |
| 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 |
| 1164067088 | Candice Smith | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-11-14 |
| 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 |
| 1306225008 | Candice Smith | Nurse Practitioner | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-05-27 |
| Street Address |
8512 SIX FORKS RD STE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184701286 | Troy Taylor Kane | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 | 2006-11-01 |
| 1982217832 | Kaitlyn Lohrei Miller | Social Worker | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2020-08-28 |
| 1063032209 | Natalie Sue Borto | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2020-04-17 |
| 1811556517 | Kaitlyn Elizabeth Viera | Social Worker | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2019-06-07 |
| 1629553540 | Rachel Smith Burns | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2018-09-26 |
| 1194210336 | Kyle Patrick Flannelly | Social Worker | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2018-06-29 |
| 1740774496 | Hannah Crouse | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 | 2018-06-17 |
| 1356517627 | Triangle Counseling Agency Inc. | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1568098903 | Mona Nour | Counselor | 11428 Royal Amber Way, Raleigh, NC 27614-9896 | 2020-03-17 |
| 1306305578 | Edmund Tayloe Buckman Iv | Counselor | 614 Capital Blvd Apt 213, Raleigh, NC 27603-1157 | 2019-03-18 |
| 1487127403 | Professional Counseling Associates of Cary | Counselor | 2207 Overflow Cir, Raleigh, NC 27610-5359 | 2019-01-03 |
| 1154896611 | Brittany Crystal Smith | Counselor | 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 | 2018-10-10 |
| 1942784079 | Maria Mccrimmon | Counselor | 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 | 2018-09-25 |
| 1093220618 | Roxanne Rosenberg | Counselor | 4508 Olde Stream Ct, Raleigh, NC 27612-3641 | 2017-12-05 |
| 1396260089 | Christina Jones Parker | Counselor | 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 | 2017-08-03 |
| 1023532405 | Tykeena Lee Johnson | Counselor | 4210 Evans Dr, Raleigh, NC 27610-6757 | 2017-07-27 |
| 1144750563 | Esupport, Pllc | Counselor | 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 | 2017-06-18 |
| Find all providers in RALEIGH | ||||
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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.