Individual provider Active NPI

Candy L Kaplan, LMHC

  • Mental Health Counselor
  • Palm Bay, FL
National Provider Identifier
1508015025
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8605 Issued in FL
Practice address
1501 Robert J Conlan Blvd NE
Suite 150
Palm Bay, FL 32905-3502
Phone
(321) 676-3474
Fax
(321) 676-3412
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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 MH8605 FL Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE
Suite 150
Palm Bay, FL 32905-3502

Mailing address

1501 Robert J Conlan Blvd NE
Suite 150
Palm Bay, FL 32905-3502
Phone (321) 676-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240603001559 FL Practitioner - Mental Health Counselor 6507308855 Practice locations: Palm Bay, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Robert J Conlan Blvd NE
Suite 100
Palm Bay, FL 32905-3560
Phone (321) 676-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8605FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Brevard Behavioral Medicine PastSince Jul 11, 2008 Accepting new patients

Organizations & group practices 1

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1508015025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE",
            "address_2": "SUITE 150",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "321-676-3474",
            "fax_number": "321-676-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE",
            "address_2": "SUITE 150",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "321-676-3474",
            "fax_number": "321-676-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "CANDY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.