Kandice Renee Bass, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1486 Issued in MS

Practice address

812 Highway 11 S
Ellisville, MS 39437-3508

Phone

(601) 643-9815

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Promises Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ellisville, MS
  • NPI 1932945029
  NPD Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1073701744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JO RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394374503",
            "telephone_number": "601-270-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 HIGHWAY 11 S",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394373508",
            "telephone_number": "601-643-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "KANDICE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "1486",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Abram, CMHT
• Amanda Allred, LMSW
• Kelly Aplin, MS CCC/SLP
• Robert Rex Applewhite, M.D.
• Lasha Bayless, CCSS
• Lindsay Ranae Beard, FNP
• Weslie Ann Blackledge, DMD
• Lisa Graham Blesse, FNP
• Breanna L Bonner, FNP

• Professional Counselor in Ellisville, MS
• Providers in Ellisville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.