Individual provider Active NPI

Candice Lenora Smith, LPC, NCC

  • Professional Counselor
  • Copperas Cove, TX
National Provider Identifier
1649975855
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89612 Issued in TX
Practice address
1216 Duncan Rd
Copperas Cove, TX 76522-7409
Phone
(254) 577-4880
Fax
(254) 518-5300
NPI assigned
Apr 5, 2023
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89612 TX Primary
Mental Health Counselor 101YM0800X 89612 TX

Addresses

Primary practice location

1216 Duncan Rd
Copperas Cove, TX 76522-7409

Mailing address

1216 Duncan Rd
Copperas Cove, TX 76522-7409
Phone (830) 220-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240703000013 TX Practitioner - Mental Health Counselor 0143662866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians

Practice addresses (Care Compare)

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince May 9, 2024 Accepting new patients
Angels on the Horizon Therapeutic Center, LLC CurrentSince Apr 9, 2023 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince May 9, 2024 Accepting new patients
Travail Adaptations PastSince Apr 9, 2023 Accepting new patients

Locations

1216 Duncan Rd
Copperas Cove, TX 76522
Phone (254) 577-4880

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 4

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1649975855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227409",
            "telephone_number": "830-220-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227409",
            "telephone_number": "254-577-4880",
            "fax_number": "254-518-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDICE",
        "middle_name": "LENORA",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89612",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperas Cove, TX

Sources for this page

Verify at the official NPI Registry.