Active NPI
Candance Miles, CARC
- Peer Specialist
- Martinsville, IN
National Provider Identifier
1609601772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CARC-5040
- Practice address
- 504 Grand Valley Blvd
Martinsville, IN 46151-5883 - Phone
- (609) 941-6196
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CARC-5040 | IN | Primary |
Addresses
Primary practice location
504 Grand Valley Blvd
Martinsville, IN 46151-5883
Mailing address
504 Grand Valley Blvd
Martinsville, IN 46151-5883
Phone (609) 941-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CARC-5040 | IN | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Treatment Centers in-I, LLC | Current | 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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Martinsville, IN
- NPI 1619639523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1609601772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 GRAND VALLEY BLVD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461515883",
"telephone_number": "609-941-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 GRAND VALLEY BLVD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461515883",
"telephone_number": "609-941-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "CANDANCE",
"credential": "CARC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "IN",
"license": "CARC-5040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.