Individual provider Active NPI

Candice I Kemble, MCP, LPC

  • Mental Health Counselor
  • Ponca City, OK
National Provider Identifier
1497145056
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC06384 Issued in OK
Practice address
400 E Central Ave
Ponca City, OK 74601-5429
Phone
(580) 485-5814
NPI assigned
Feb 3, 2015
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC06384 OK Primary
Professional Counselor 101YP2500X LPC06384 OK

Addresses

Primary practice location

400 E Central Ave
Ponca City, OK 74601-5429

Mailing address

430 S Elm St
Ponca City, OK 74601-6001
Phone (580) 716-7206

Other names 1

  • Candice I. Kemble Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20251224000459 OK Practitioner - Mental Health Counselor 3971098278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Central Ave
Link 3
Ponca City, OK 74601-5402
Phone (580) 485-5814

430 S Elm St
Ponca City, OK 74601-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC06384OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Candice I Kemble MCP LPC PLLC Mental Health CurrentSince Nov 3, 2025 Accepting new patients
Candice I Kemble MCP LPC PLLC Professional CurrentSince Nov 8, 2025 Accepting new patients

Locations

400 E Central Ave
Ponca City, OK 74601
Phone (580) 304-9767

400 E Central Ave
#3
Ponca City, OK 74601
Phone (580) 447-2797

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1497145056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S ELM ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746016001",
            "telephone_number": "580-716-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E CENTRAL AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015429",
            "telephone_number": "580-485-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMBLE",
        "first_name": "CANDICE",
        "middle_name": "I",
        "credential": "MCP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC06384",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC06384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "KEMBLE",
            "middle_name": "I.",
            "credential": "MCP, LPC, PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.