Active NPI
Kikuko McCandlish, M.A., L.P.C., N.C.C.
- Professional Counselor
- Farmington Hills, MI
National Provider Identifier
1093010324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009220
- Practice address
- 27990 Trailwood CT
Farmington Hills, MI 48331-2946 - Phone
- (248) 553-1973
- Fax
- (248) 553-1973
- NPI assigned
- Jan 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009220 | MI | Primary |
Addresses
Primary practice location
27990 Trailwood CT
Farmington Hills, MI 48331-2946
Mailing address
27990 Trailwood CT
Farmington Hills, MI 48331-2946
Phone (248) 553-1973
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009220 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1093010324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27990 TRAILWOOD CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312946",
"telephone_number": "248-553-1973",
"fax_number": "248-553-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27990 TRAILWOOD CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312946",
"telephone_number": "248-553-1973",
"fax_number": "248-553-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANDLISH",
"first_name": "KIKUKO",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C., N.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.