Individual provider Active NPI

Candace Kay Newland, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063554053
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1427 Issued in NE
Practice address
809 S 174TH St
Omaha, NE 68118-3450
Phone
(402) 991-8093
Fax
(402) 505-9726
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1427 NE Primary

Addresses

Primary practice location

809 S 174TH St
Omaha, NE 68118-3450

Mailing address

809 S 174TH St
Omaha, NE 68118-3540
Phone (402) 991-8093

Other identifiers 1

IdentifierTypeStateIssuer
10025836700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725001507 NE Practitioner - Mental Health Counselor 6305382417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Inc CurrentSince Jun 15, 2024 Accepting new patients

Locations

6911 Van Dorn St
Ste 1
Lincoln, NE 68506
Phone (402) 484-5656

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1063554053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S 174TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183540",
            "telephone_number": "402-991-8093",
            "fax_number": "402-505-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S 174TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183450",
            "telephone_number": "402-991-8093",
            "fax_number": "402-505-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "CANDACE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025836700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.