Candace Maria Azure
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Devils Lake, ND
NPI 1053009175 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1053009175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1966 (ND)
- Practice address
- 200 Highway 2 W
Devils Lake, ND 58301-3532 - Phone
- (701) 665-2200
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 210
Trenton, ND 58853
PO Box
Suite 210
Trenton, ND 58853-0210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260319002728 | TX | Practitioner - Mental Health Counselor | 8921501404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1966 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenton Indian Service Area | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Specialist | 174400000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1966 | ND | Yes |
Addresses
Primary practice location
200 Highway 2 W
Devils Lake, ND 58301-3532
Mailing address
200 Highway 2 W
Devils Lake, ND 58301-3532
Phone (701) 665-2200
Other names
- Candace Maria Bercier
Other providers in Devils Lake, ND
- Chelsy Aukland
- Janna Aune
- Danica Axtman
- Gabrielle Yvette Azure-Wallette
- Alayah S Azure
- Clifford Azure
- Lynette Marie Azure
- Tifani Bachmeier
- Tania Lee Barnhart
- Allyson Bartlett
All providers in Devils Lake, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.