Active NPI
Candid Space Counseling PLLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1235955063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CANDID SPACE COUNSELING PLLC
- Practice address
- 1130 S Canal St # 1054
Chicago, IL 60607-4907 - Phone
- (847) 474-9755
- NPI assigned
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danielle Patrick-Wade, EDD
- Title
- Owner
- Phone
- (847) 474-9755
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1130 S Canal St # 1054
Chicago, IL 60607-4907
Mailing address
1130 S Canal St Ste 1054
Chicago, IL 60607-5058
Phone (847) 474-9755
Other names 1
- Candid Space Counseling PLLC
National Provider Directory
National Provider DirectoryLocations
1130 S Canal St
#1054
Chicago, IL 60607
Phone (847) 474-9755
1130 S Canal St
Ste 1054
Chicago, IL 60607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1447027933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1235955063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S CANAL ST STE 1054",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075058",
"telephone_number": "847-474-9755",
"fax_number": "847-943-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 S CANAL ST # 1054",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074907",
"telephone_number": "847-474-9755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDID SPACE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-26",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "PATRICK-WADE",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-474-9755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Candid Space Counseling PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.