Candace Harrelson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109900 Issued in TX

Practice address

32207 Tamina Rd # Sitea
Magnolia, TX 77354-2556

Phone

(832) 734-6131

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Candace Kopech Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Development Therapies, LLC

  • Rehabilitation Clinic/Center
  • Porter, TX
  • NPI 1417967944
  NPD (past)
• Tri-County Behavioral Healthcare

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1851333074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1003235847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32207 TAMINA RD # SITEA",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542556",
            "telephone_number": "832-734-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32207 TAMINA RD # SITEA",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542556",
            "telephone_number": "832-734-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverwood Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042824",
            "country_code": "US",
            "telephone_number": "936-391-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "CANDACE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "KOPECH",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wei Han, M.D
• Shannon L Hankerd, BT
• Happy Little Honeybee, LLC
• Emily Hargrave
• Kindra Harper
• Carolyn Denice Harris, MA CCC/SLP
• Abdul Qadir Haseeb, M.D.
• Sarah B Hawk
• Mikaela Hayden
• Hear Say

• Speech-Language Pathologist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.