Individual provider Active NPI

Candace K Andrews, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
National Provider Identifier
1497084388
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00562-L Issued in NV
Practice address
1201 Terminal Way
Suite 224
Reno, NV 89502-3202
Phone
(775) 677-2612
Fax
(775) 348-2612
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00562-L NV Primary

Addresses

Primary practice location

1201 Terminal Way
Suite 224
Reno, NV 89502-3202

Mailing address

1201 Terminal Way
Suite 224
Reno, NV 89502-3202
Phone (775) 677-2612

Other identifiers 1

IdentifierTypeStateIssuer
00562-LOtherNVLICENSE

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

LicenseStateTypeSpecialty
00562-LNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1497084388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY",
            "address_2": "SUITE 224",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023202",
            "telephone_number": "775-677-2612",
            "fax_number": "775-348-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY",
            "address_2": "SUITE 224",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023202",
            "telephone_number": "775-677-2612",
            "fax_number": "775-348-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "CANDACE",
        "middle_name": "K",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00562-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "00562-L",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.