Candice Hakemack, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1755 N Collins Blvd Ste 310
Richardson, TX 75080-3592

Phone

(972) 837-0454

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 10, 2024 through Dec 10, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1568117604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N COLLINS BLVD STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803592",
            "telephone_number": "972-837-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N COLLINS BLVD STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803592",
            "telephone_number": "972-837-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Heritage Ave Ste 105-5",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760515714",
            "country_code": "US",
            "telephone_number": "972-837-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKEMACK",
        "first_name": "CANDICE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://candice-hakemack.clientsecure.me.",
            "affiliation": "N",
            "address_1": "1755 N Collins Blvd Ste 310",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750803592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.