Individual provider Active NPI

Candace Tenczar, LICSW

  • Mental Health Counselor
  • Easthampton, MA
National Provider Identifier
1013088988
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
120473 Issued in MA
Practice address
123 Union St Ste 101
Easthampton, MA 01027-4100
Phone
(413) 531-9409
Fax
(413) 369-6083
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 120473 MA Primary

Addresses

Primary practice location

123 Union St Ste 101
Easthampton, MA 01027-4100

Mailing address

123 Union St Ste 101
Easthampton, MA 01027-4100
Phone (413) 531-9409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000060 MA Practitioner - Clinical Social Worker 4587685813 Practice locations: Easthampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Union St
Suite 101
Easthampton, MA 01027-4100
Phone (413) 531-9409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rainbow Mental Health, PLLC Clinical CurrentSince May 21, 2023 Accepting new patients

Locations

123 Union St
Ste 101
Easthampton, MA 01027
Phone (413) 341-0143

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1013088988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 UNION ST STE 101",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010274100",
            "telephone_number": "413-531-9409",
            "fax_number": "413-369-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 UNION ST STE 101",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010274100",
            "telephone_number": "413-531-9409",
            "fax_number": "413-369-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENCZAR",
        "first_name": "CANDACE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "120473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.