Individual provider Active NPI

Candi R Fielder, LPC

  • Counselor
  • Alpena, MI
National Provider Identifier
1114257730
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009045 Issued in MI
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

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6401009045OtherMIMICHIGAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001014 MI Practitioner - Mental Health Counselor 9739221417 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6401009045MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc. Professional Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jan 13, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Counselor CurrentSince Jan 13, 2024 Accepting new patients
Northeast Michigan Community Mental Health Authority Past Accepting new patients
Northeast Michigan Community Mental Health Authority PastSince Jul 20, 2005 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.