Organization Active NPI

Candice I Kemble MCP LPC PLLC

  • Mental Health Counselor
  • Ponca City, OK
National Provider Identifier
1154291003
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CANDICE I KEMBLE MCP LPC PLLC
Practice address
400 E Central Ave
Ponca City, OK 74601-5429
Phone
(580) 485-5814
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Candice Ilene Kemble, MCP, LPCNPI 1497145056
Title
Therapist/Owner
Phone
(580) 716-7206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

400 E Central Ave
Ponca City, OK 74601-5429

Mailing address

430 S Elm St
Ponca City, OK 74601-6001
Phone (580) 716-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251224000314 OK Part B Supplier - Clinic/Group Practice 2062907363 Receives reassigned benefits from 1 practitioner
Practice locations: Ponca City, OK

National Provider Directory

National Provider Directory

Locations

400 E Central Ave
#3
Ponca City, OK 74601
Phone (580) 447-2797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1154291003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S ELM ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746016001",
            "telephone_number": "580-716-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E CENTRAL AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015429",
            "telephone_number": "580-485-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE I KEMBLE MCP LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "580-716-7206",
        "authorized_official_credential": "MCP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.