Kandace Colleen Ledergerber

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2425 Chatlin Rd
Holiday, FL 34691

Phone

(813) 738-3600

NPI assigned

Aug 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kandace Colleen Fisher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sense the Possibilities, LLC

  • Mental Health Counselor
  • Lutz, FL
  • NPI 1447873401
  NPD (past)
• University Medical Service Association Inc

  • Neurological Surgery Physician
  • Tampa, FL
  • NPI 1740227966
  NPD (past)

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1174049613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MICHELIN CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-949-8946",
            "fax_number": "813-948-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CHATLIN RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "813-738-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERGERBER",
        "first_name": "KANDACE",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDACE",
            "last_name": "FISHER",
            "middle_name": "COLLEEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Lane, PHARMACIST
• Gilma Larrota Reyes, RN
• Lazenby & Heath MD'S PA
• Malory J Leblanc, D.M.D.
• Mark Lechner, M.D.
• Leonard M Linardos, D.C.
• David Seaman Lindberg Jr., MD
• Liquidays
• Yurima Llanes Gonzalez
• Lloydcare, LLC

• Mental Health Counselor in Holiday, FL
• Providers in Holiday, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.