Individual provider Active NPI

Candy Renita Walters, LPC-S

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1215407416
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62377 Issued in TX
Practice address
201 E Loop 281
Longview, TX 75605-7911
Phone
(903) 758-2610
Fax
(903) 758-7081
NPI assigned
Nov 29, 2018
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 62377 TX Primary

Addresses

Primary practice location

201 E Loop 281
Longview, TX 75605-7911

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 1

425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610

Other practice location 2

1001 W Fairmont St
Longview, TX 75604-3511
Phone (903) 758-2610

Other practice location 3

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433

Other practice location 4

2815 Yellow Rose Rd
Diana, TX 75640-2698
Phone (903) 431-6567

Other names 1

  • Candy Renita Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241205002034 TX Practitioner - Mental Health Counselor 3476089145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Counseling and Life Coaching, PLLCGroup PAC ID 2769833078, 2 clinicians

Practice addresses (Care Compare)

501 N Main St
Lindale, TX 75771-6425
Phone (903) 201-7727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62377TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc Mental Health CurrentSince Dec 2, 2024 Accepting new patients
Counseling Services, PLLC Mental Health CurrentSince Aug 19, 2025 Accepting new patients
Kranz Psychological Services, PLLC Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Thrive Counseling and Life Coaching, PLLC Mental Health CurrentSince Nov 11, 2025 Accepting new patients
Longview Wellness Center Inc Mental Health CurrentSince Dec 2, 2024 Accepting new patients
Cole Counseling Center Mental Health Current Accepting new patients
Longview Wellness Center, Inc Professional Current Accepting new patients
Longview Wellness Center Inc Mental Health PastSince Jan 2, 2022 Accepting new patients

Locations

1001 W Fairmont St
Longview, TX 75604

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

201 E Loop 281
Longview, TX 75605

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

425 N Fredonia St
Longview, TX 75601
Phone (903) 234-1452

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1215407416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057911",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Fredonia St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016464",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 W Fairmont St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756043511",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3118 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052941",
            "country_code": "US",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2815 Yellow Rose Rd",
            "address_purpose": "LOCATION",
            "city": "Diana",
            "state": "TX",
            "postal_code": "756402698",
            "country_code": "US",
            "telephone_number": "903-431-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CANDY",
        "middle_name": "RENITA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDY",
            "last_name": "SCOTT",
            "middle_name": "RENITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.