Individual provider Active NPI

Candace Lynn Walters, M.A.

  • Counselor
  • Pendleton, OR
National Provider Identifier
1629343603
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
331 SE 2ND St
Pendleton, OR 97801-2224
Phone
(541) 276-6207
Fax
(541) 276-4628
NPI assigned
Mar 9, 2012
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

331 SE 2ND St
Pendleton, OR 97801-2224

Mailing address

331 SE 2ND St
Pendleton, OR 97801-2224
Phone (541) 276-6207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240306004497 OR Practitioner - Mental Health Counselor 6608212121 Practice locations: La Grande, OR
I20260429002562 OR Practitioner - Mental Health Counselor 6608212121 Receives reassigned benefits from 3 practitioners
Practice locations: La Grande, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Fir St
Suite 327
La Grande, OR 97850-2661

105 Fir St
Suite 327
La Grande, OR 97850-2663
Phone (541) 246-3638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Candace Walters and Associates CurrentSince Jan 1, 2024 Accepting new patients
Beyond Addiction-Recovery Solutions LLC PastSince Mar 17, 2024 Accepting new patients

Locations

105 Fir St
Ste 327
La Grande, OR 97850
Phone (541) 246-3638

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1629343603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SE 2ND ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012224",
            "telephone_number": "541-276-6207",
            "fax_number": "541-276-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SE 2ND ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012224",
            "telephone_number": "541-276-6207",
            "fax_number": "541-276-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CANDACE",
        "middle_name": "LYNN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.