CANDICE RADMALL (NPI# 1467700492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467700492 |
| Entity Type | Individual |
| Full Name | CANDICE RADMALL |
| Credential | LPC |
| Practice Address |
1032 S Bridgeway Pl Ste 100 Eagle ID 83616 |
| Practice Telephone | 2082460123 |
| Mailing Telephone | 2082460123 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-5051 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1032 S BRIDGEWAY PL STE 100 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579527 | Renae Klein | Psychiatry & Neurology | 1032 S Bridgeway Pl, Eagle, ID 83616-6099 | 2020-02-05 |
| 1730647116 | Rebecca Jo Miller | Counselor | 1032 S Bridgeway Pl, Eagle, ID 83616-6099 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1124642293 | Wellspring Behavioral Health, Inc | Counselor | 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6868 | 2020-06-03 |
| 1043859291 | Megan Koehler | Counselor | 507 S Fitness Pl Ste 110, Eagle, ID 83616-6552 | 2020-01-04 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1902073703 | Jamie Marie Moline | Counselor | 1431 Kaila Dr, Eagle, NE 68347-1851 | 2008-05-12 |
| 1437281755 | Austin M Reed | Counselor | 593 E State St, Eagle, ID 83616-5938 | 2007-03-12 |
| 1205978095 | Carol Pangburn | Counselor | 3042 S Whitepost Way, Eagle, ID 83616-6461 | 2007-02-12 |
| 1740369206 | Cheryl A Vanmeveren | Counselor | 225 S 1st St Lot 44, Eagle, NE 68347-5010 | 2006-11-03 |
| Find all providers in EAGLE | ||||
Please comment or provide details below to improve the information on CANDICE RADMALL.
| 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.