Candice Guillory

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R11110 Issued in OR

Practice address

2726 19TH Ave
Forest Grove, OR 97116-2623

Phone

(775) 977-0276

NPI assigned

Aug 26, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1619855574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43566 SW HIATT RD",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971167113",
            "telephone_number": "503-523-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162623",
            "telephone_number": "775-977-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "CANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R11110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J. Gray Sr., D.O.
• Timothy J. Gray II, D.O.
• Irisa Marie Grimes, OTD
• Grove Occupational Therapy
• Ashley Guieb, OTR/L, OTD
• Anna Whitley Hall, OTD
• Shannon Raphael Hallberg, LMT
• Crystal Lynne Hannan, ND
• Brianna Kay Winter Hansen, RDH
• Jordan Nicole Harrison, DPT

• Mental Health Counselor in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.