Active NPI
Candice Rae Warner, MA, LLPC
- Mental Health Counselor
- Mt Pleasant, MI
National Provider Identifier
1255905519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401017036
- Practice address
- 1001 Fairfield Dr
Mount Pleasant, MI 48858-4317 - Phone
- (989) 954-4673
- NPI assigned
- May 19, 2021
- Last updated
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017036 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitch PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.