Corey A Candelaria, LPC, M.A. CSPT, CSAT

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

5569

Practice address

1068 S 88TH St
Unit a
Louisville, CO 80027-9461

Phone

(303) 917-3114

Fax

(303) 763-1871

NPI assigned

Dec 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1497938864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 S. 88TH STREET",
            "address_2": "UNIT A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272444",
            "telephone_number": "303-917-3114",
            "fax_number": "303-763-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 S 88TH ST",
            "address_2": "UNIT A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279461",
            "telephone_number": "303-917-3114",
            "fax_number": "303-763-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "COREY",
        "middle_name": "A",
        "credential": "LPC, M.A. CSPT, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-08",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5569",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "5569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "5569",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Craig Caldwell, PT, DPT, CSCS, TPI
• Germaine Calhoun, NP
• James E Camp, NP
• Peter Campanella, PHARMD
• Belinda Campbell, DDS
• Chris Capitelli
• Larry Cappel, LMFT
• Damen Matthew Caraway, D.D.S, M.S.D.
• Carepoint Inpatient Blue Sky Neurology PLLC
• Carepoint Outpatient Blue Sky Neurology PLLC

• Addiction (Substance Use Disorder) Psychologist in Louisville, CO
• Providers in Louisville, CO by specialty
• Addiction (Substance Use Disorder) Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.