Active NPI
Candi R Fielder, LPC
- Counselor
- Alpena, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401009045
- Practice address
- 400 Johnson St
Alpena, MI 49707-1434 - Phone
- (989) 356-2161
- Fax
- (989) 354-5898
- NPI assigned
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009045 | MI | |
| Counselor | 101Y00000X | 6401009045 | MI | Primary |
Addresses
Primary practice location
400 Johnson St
Alpena, MI 49707-1434
Mailing address
280 Island View Dr
Alpena, MI 49707-1306
Phone (989) 354-5417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401009045 | Other | MI | MICHIGAN STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Springport Rd
Suite 200
Jackson, MI 49202-1432
Phone (517) 205-0118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009045 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc. | Professional | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Counselor | Current | Accepting new patients |
| Northeast Michigan Community Mental Health Authority | Past | Accepting new patients | |
| Northeast Michigan Community Mental Health Authority | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
744 W Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 205-3120
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
2200 Springport Rd
Ste 200
Jackson, MI 49202
Phone (517) 205-0118
Interoperability endpoints
- cfielder828854@direct.hfhs.org
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
Professional
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Community/Behavioral Health Agency
- Alpena, MI
- NPI 1144378381
-
- Community/Behavioral Health Agency
- Alpena, MI
- NPI 1508180662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1114257730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 ISLAND VIEW DR",
"city": "ALPENA",
"state": "MI",
"postal_code": "497071306",
"telephone_number": "989-354-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 JOHNSON ST",
"city": "ALPENA",
"state": "MI",
"postal_code": "497071434",
"telephone_number": "989-356-2161",
"fax_number": "989-354-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDER",
"first_name": "CANDI",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009045",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN STATE LICENSE NUMBER",
"identifier": "6401009045",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.