Individual provider Active NPI

Candace Jo Fellows, LMHC

  • Mental Health Counselor
  • Kokomo, IN
National Provider Identifier
1457148165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005445A Issued in IN
Practice address
322 N Main St
Kokomo, IN 46901-4622
Phone
(765) 776-8555
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 39005445A IN Primary

Addresses

Primary practice location

322 N Main St
Kokomo, IN 46901-4622

Mailing address

608 E 7TH St
Burlington, IN 46915-9441
Phone (765) 490-3267

Other practice location 1

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250529003374 IN Practitioner - Mental Health Counselor 2769991074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005445AINMDMental Health Counselor
39005446AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Howard Regional Health Inc CurrentSince Apr 28, 2025 Accepting new patients
St. Joseph Hospital & Health Center, Inc. Current Accepting new patients
St. Joseph Hospital & Health Center, Inc. Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457148165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E 7TH ST",
            "city": "BURLINGTON",
            "state": "IN",
            "postal_code": "469159441",
            "telephone_number": "765-490-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014622",
            "telephone_number": "765-776-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 W SYCAMORE ST",
            "address_purpose": "LOCATION",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "country_code": "US",
            "telephone_number": "765-456-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "CANDACE",
        "middle_name": "JO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.