Candyce Bell, LCPC – Counselor in O Fallon, IL

Key facts

NPI: 1235779208
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 180.013339 (IL)
Practice address: 635 W Highway 50
O Fallon, IL 62269-1941
Phone: (618) 575-0020
NPI assigned: Jan 8, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Phoenix Ascension Counseling LLC Mental Health Clinic/Center (Including Community Mental Health Center) · O Fallon, IL · NPI 1912611245

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
178.015341	IL	MD	Counselor
180.013339	IL	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Phoenix Ascension Counseling LLC		Current since Jan 1, 2023	Accepting new patients

Locations

635 W Highway 50
O Fallon, IL 62269
Phone (618) 575-0020

106 E 4th St
#A
O Fallon, IL 62269

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	178.015341	IL
Counselor	101Y00000X	180.013339	IL	Yes

Addresses

Primary practice location

635 W Highway 50
O Fallon, IL 62269-1941

Mailing address

1523 Picketts CT
O Fallon, IL 62269-6665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2025.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1235779208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 PICKETTS CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691941",
            "telephone_number": "618-575-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "CANDYCE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.015341",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.013339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

All providers in O Fallon, IL · Counselor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.