Individual provider Active NPI

Candace R Delis, LPC, LPCC, LMHC

  • Professional Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1396221636
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8026-125 Issued in WI
Practice address
1910 7TH St S
Wisconsin Rapids, WI 54494-6003
Phone
(715) 441-1960
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 8026125 WI
Professional Counselor 101YP2500X 110339 IA
Professional Counselor 101YP2500X 8026-125 WI Primary
Professional Counselor 101YP2500X 61485659 WA
Professional Counselor 101YP2500X 13647 CA

Addresses

Primary practice location

1910 7TH St S
Wisconsin Rapids, WI 54494-6003

Mailing address

1910 7TH St S
Wisconsin Rapids, WI 54494-6003
Phone (715) 697-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, MI, WI, IA, OR6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20240919000181 WA Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations
I20240926002547 CA Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations
I20241111002778 MI Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations
I20250131001239 WI Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations
I20250131002149 IA Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations
I20260321000520 OR Practitioner - Mental Health Counselor 6709327612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

4026 S Burrell St
Milwaukee, WI 53207-4404
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61485659WAMDMental Health Counselor
8026-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delis Counseling Group, LLC Professional CurrentSince Feb 18, 2024 Accepting new patients
Talkspace Wa Psychiatry PC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Jul 19, 2024 Accepting new patients
Hergert & Gazinao Family Counseling Services Mental Health Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

1910 7th St S
Wisconsin Rapids, WI 54494

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1396221636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 7TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946003",
            "telephone_number": "715-697-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 7TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946003",
            "telephone_number": "715-441-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIS",
        "first_name": "CANDACE",
        "middle_name": "R",
        "credential": "LPC, LPCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8026125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "110339",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8026-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "61485659",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.