Organization Active NPI

Candace Cross Counseling LLC

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1235886268
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CANDACE CROSS COUNSELING LLC
Practice address
3070 Lakecrest Cir Ste 400156
Lexington, KY 40513-1937
Phone
(859) 305-9466
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Candace CrossNPI 1255753422
Title
Managing Member
Phone
(859) 395-9466

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3070 Lakecrest Cir Ste 400156
Lexington, KY 40513-1937

Mailing address

3070 Lakecrest Cir Ste 400156
Lexington, KY 40513-1937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810001518 KY Part B Supplier - Clinic/Group Practice 9537542469 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

3070 Lakecrest Cir
Ste 400
Lexington, KY 40513

3070 Lakecrest Cir
Ste 400156
Lexington, KY 40513
Phone (859) 305-9466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1235886268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR STE 400156",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR STE 400156",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937",
            "telephone_number": "859-305-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE CROSS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-395-9466"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.