Active NPI
Candace Telford
- Professional Counselor
- Edmond, OK
National Provider Identifier
1053080705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12420
- Practice address
- 1900 E 15TH St Ste B
Edmond, OK 73013-6610 - Phone
- (405) 548-1029
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12420 | OK | Primary |
Addresses
Primary practice location
1900 E 15TH St Ste B
Edmond, OK 73013-6610
Mailing address
9905 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12420 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluesprig | Behavior Technician | Current | Accepting new patients |
Locations
600 Liberty Ln
Edmond, OK 73034
Phone (405) 548-1029
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.
-
- Behavior Technician
- Edmond, OK
- NPI 1467316315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1053080705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 S PENNSYLVANIA AVE STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136610",
"telephone_number": "405-548-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELFORD",
"first_name": "CANDACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "12420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.