Candise Rose Epperson, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4422 NE Devils Lake Blvd
Lincoln City, OR 97367-5000

Phone

(541) 265-4196

Fax

(541) 994-1882

NPI assigned

Jun 18, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Newport, OR
  • NPI 1992755664
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1043573967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66984 HIGHWAY 241",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974206588",
            "telephone_number": "541-720-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 NE DEVILS LAKE BLVD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675000",
            "telephone_number": "541-265-4196",
            "fax_number": "541-994-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "CANDISE",
        "middle_name": "ROSE",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Ehrenfelt, PTA
• Zachery Ehrenfelt
• Kayla Eliott, DMD
• Katie Elliott
• Shannon Lee English, D.D.S.
• Joan Erlanger, P.T.
• Jane Malin Espeseth, D.D.S
• Estate of Kevin L. Chancellor
• Tawni Marie Ferguson, QMHA
• Nathan Andrew Fingerson, QMHP

• Mental Health Counselor in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.