Candace Dawn Lancaster-Simms

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217

Phone

(224) 300-1078

Fax

(224) 238-6221

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1104585447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 DEMPSTER ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564978",
            "telephone_number": "773-726-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "224-300-1078",
            "fax_number": "224-238-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 E 78th St Apt 1W",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606495589",
            "country_code": "US",
            "telephone_number": "779-726-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER-SIMMS",
        "first_name": "CANDACE",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "candacel@kennethyoung.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Kenneth Young Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Rohlwing Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sakirat M Kuti
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• Jessica Hope Landeroz, PA
• Theodore Scott Landers, O.T.C.
• Ernest John Laney IV, MD
• Bhranti Chintan Langaliya, M.D.

• Mental Health Counselor in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.