Active NPI
Candace R Sneed, LPC
- Professional Counselor
- Bolling AFB, DC
National Provider Identifier
1053733832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03001 | KS | MD | Mental Health Counselor |
| 76710 | TX | MD | Mental Health Counselor |
| 0701010326 | VA | MD | Mental Health Counselor |
| 2794 | KS | MD | Professional 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.