Organization Active NPI

Candid Space Counseling PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1235955063
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Dr. Danielle Patrick-Wade, EDDNPI 1447027933
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.