Candace Renee Gorham, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8421 Issued in NC

Practice address

607 Dupree St
Durham, NC 27701-4527

Phone

(919) 491-3326

NPI assigned

Dec 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Candace Renee Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1528489333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 BRENMAR LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138172",
            "telephone_number": "919-885-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DUPREE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014527",
            "telephone_number": "919-491-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "CANDACE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "MILLER",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "MA, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janeen Gordon, LCAS-A
• Kelly Lynn Gordon, SLP
• Latanya Gordon
• William H Gordon, DDS
• Sara Gore
• Isabella Gorski, MS, RDN, LDN
• Brigitta Octavia Goshen, LCSW-A
• Lauren Carter Keith Goslin, LCSW
• Sidney Maloch Gospe Jr., MD
• Sidney Maloch Gospe III, M.D., PH.D.

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.