Individual provider Active NPI

Candice Rae Warner, MA, LLPC

  • Mental Health Counselor
  • Mt Pleasant, MI
National Provider Identifier
1255905519
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017036 Issued in MI
Practice address
1001 Fairfield Dr
Mount Pleasant, MI 48858-4317
Phone
(989) 954-4673
NPI assigned
May 19, 2021
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401017036 MI Primary

Addresses

Primary practice location

1001 Fairfield Dr
Mount Pleasant, MI 48858-4317

Mailing address

1001 Fairfield Dr
Mount Pleasant, MI 48858-4317
Phone (989) 954-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260128003865 MI Practitioner - Mental Health Counselor 5294213591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1409 N Dr
Mount Pleasant, MI 48858-3230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401017036MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mitch PC CurrentSince Jan 23, 2026 Accepting new patients

Locations

1001 Fairfield Dr
Mt Pleasant, MI 48858
Phone (989) 954-4673

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, 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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1255905519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FAIRFIELD DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584317",
            "telephone_number": "989-954-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FAIRFIELD DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584317",
            "telephone_number": "989-954-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "CANDICE",
        "middle_name": "RAE",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.