Individual provider Active NPI

Candace Rae Herdt, MA LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1124389648
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC6520 Issued in CO
Practice address
9100 E Lowry Blvd
Denver, CO 80230-6935
Phone
(303) 780-9191
Fax
(303) 780-9192
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC6520 CO Primary

Addresses

Primary practice location

9100 E Lowry Blvd
Denver, CO 80230-6935

Mailing address

16193 E 18TH PL
Aurora, CO 80011-4801
Phone (402) 366-5629

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

LicenseStateTypeSpecialty
LPC6520COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1124389648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16193 E 18TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800114801",
            "telephone_number": "402-366-5629",
            "fax_number": "720-859-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306935",
            "telephone_number": "303-780-9191",
            "fax_number": "303-780-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDT",
        "first_name": "CANDACE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.