Active NPI
Candyce Morris
- Counselor
- Chehalis, WA
National Provider Identifier
1386846210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00057564
- Practice address
- 135 W Main St
Chehalis, WA 98532-4817 - Phone
- (360) 748-6696
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00057564 | WA | Primary |
Addresses
Primary practice location
135 W Main St
Chehalis, WA 98532-4817
Mailing address
1104 Brotherson Rd Apt 5
Centralia, WA 98531-1062
Phone (360) 388-8969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00057564 | Other | WA | REGISTERED COUNSELOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00057564 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386846210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 BROTHERSON RD APT 5",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311062",
"telephone_number": "360-388-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W MAIN ST",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985324817",
"telephone_number": "360-748-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CANDYCE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00057564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED COUNSELOR",
"identifier": "RC00057564",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.