Individual provider Active NPI

Candice Markle, LISW

  • Mental Health Counselor
  • Parma, OH
National Provider Identifier
1336851187
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1000303 Issued in OH
Practice address
1440 Rockside Rd Ste 216
Parma, OH 44134-2749
Phone
(216) 777-6062
Fax
(216) 777-6062
NPI assigned
Dec 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 C1000303 OH Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 216
Parma, OH 44134-2749

Mailing address

1440 Rockside Rd Ste 216
Parma, OH 44134-2749
Phone (216) 777-6062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C1000303OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Harbor Behavioral Health, LLC CurrentSince Dec 28, 2022 Accepting new patients

Locations

1440 Rockside Rd
Ste 216
Parma, OH 44134
Phone (216) 777-6062

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1336851187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 216",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-777-6062",
            "fax_number": "216-777-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 216",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-777-6062",
            "fax_number": "216-777-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "CANDICE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1000303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.