Candace Elis Anthony, M.ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011013937 Issued in MO

Practice address

2631A Armand PL
Saint Louis, MO 63104-2225

Phone

(314) 459-7313

NPI assigned

Jan 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Ellis Therapy & Consulting, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1235579475
  NPD Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1639474695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631A ARMAND PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042225",
            "telephone_number": "314-459-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631A ARMAND PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042225",
            "telephone_number": "314-459-7313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5585 Pershing Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631121850",
            "country_code": "US",
            "telephone_number": "314-459-7313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Gore Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631191600",
            "country_code": "US",
            "telephone_number": "314-968-2060 x220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "CANDACE",
        "middle_name": "ELIS",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011013937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Schultz, M.D., S.C.
• Anthony Udziela PHD LLC
• Irene Anthony-Jones, PHARMD
• Jama Gay Anthony-Petter, L.C.S.W.
• Brittanie Anthony
• Denzel Jamaree Thomas Anthony, CRC
• Nicholas Alan Anthony, DO
• Robert E Anthony, MSW
• Katee Summer Antin-McCarty, OTR/L
• Natalie Beth Antin, MSW, LMSW

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.