Individual provider Active NPI

Candace R Sneed, LPC

  • Professional Counselor
  • Bolling AFB, DC
National Provider Identifier
1053733832
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2794 Issued in KS
Practice address
3136 Arnold Ave SW
Bolling AFB, DC 20032-7677
Phone
(210) 727-4522
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76710 TX
Mental Health Counselor 101YM0800X 03001 KS
Mental Health Counselor 101YM0800X 0701010326 VA
Professional Counselor 101YP2500X 2794 KS Primary

Addresses

Primary practice location

3136 Arnold Ave SW
Bolling AFB, DC 20032-7677

Mailing address

3136 Arnold Ave SW
Bolling AFB, DC 20032-7677
Phone (210) 727-4522

Other names 1

  • Candace R Cornelison Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candace@csneedtherapy.com Direct

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

LicenseStateTypeSpecialty
03001KSMDMental Health Counselor
76710TXMDMental Health Counselor
0701010326VAMDMental Health Counselor
2794KSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1053733832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 ARNOLD AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327677",
            "telephone_number": "210-727-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 ARNOLD AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327677",
            "telephone_number": "210-727-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "CANDACE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76710",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010326",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace@csneedtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "3136 Arnold Ave SW",
            "city": "Bolling AFB",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200327677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "CORNELISON",
            "middle_name": "R",
            "credential": "LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolling AFB, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.