Active NPI
Candus Lee, PLPC
- Professional Counselor
- Florissant, MO
National Provider Identifier
1457892408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2017000200
- Practice address
- 13855 New Halls Ferry Rd
Apt P
Florissant, MO 63033 - Phone
- (314) 761-8226
- NPI assigned
- Mar 10, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2017000200 | MO | Primary |
Addresses
Primary practice location
13855 New Halls Ferry Rd
Apt P
Florissant, MO 63033
Mailing address
13855 New Halls Ferry Rd Apt P
Florissant, MO 63033-2901
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 |
|---|---|---|---|
| 2017000200 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1457892408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13855 NEW HALLS FERRY RD APT P",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630332901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13855 NEW HALLS FERRY RD",
"address_2": "APT P",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "63033",
"telephone_number": "314-761-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CANDUS",
"credential": "PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2017000200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.