Active NPI
Candace Mason LLC
- Professional Counselor
- Okemos, MI
National Provider Identifier
1417664012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CANDACE MASON LLC
- Practice address
- 4660 Marsh Rd Ste 21
Okemos, MI 48864-2143 - Phone
- (517) 295-3351
- NPI assigned
- Nov 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Johnson-Mason, MA, LPC-S, NCC, CFRC
- Title
- Owner/Biller
- Phone
- (517) 295-3351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4660 Marsh Rd Ste 21
Okemos, MI 48864-2143
Mailing address
5815 Bent Tree Dr
East Lansing, MI 48823-7789
Phone (517) 483-2461
Other practice location 1
5815 Bent Tree Dr
East Lansing, MI 48823-7789
Phone (517) 483-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4660 Marsh Rd
Ste 21
Okemos, MI 48864
Phone (517) 295-3351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Okemos, MI
- NPI 1962754408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703721600000",
"number": "1417664012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 BENT TREE DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237789",
"telephone_number": "517-483-2461",
"fax_number": "517-323-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 MARSH RD STE 21",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642143",
"telephone_number": "517-295-3351"
}
],
"practiceLocations": [
{
"address_1": "5815 Bent Tree Dr",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488237789",
"country_code": "US",
"telephone_number": "517-483-2461",
"fax_number": "517-323-9531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CANDACE MASON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A",
"authorized_official_last_name": "JOHNSON-MASON",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "OWNER/BILLER",
"authorized_official_telephone_number": "517-295-3351",
"authorized_official_credential": "MA, LPC-S, NCC, CFRC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.