Active NPI
Candice Reriee Farrell, M.A., LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1669496808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009032467
- Practice address
- 1430 Olive St
Suite 500
Saint Louis, MO 63103-2303 - Phone
- (314) 206-3700
- Fax
- (314) 206-3708
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Professional Counselor | 101YP2500X | 2009032467 | MO | Primary |
Addresses
Primary practice location
1430 Olive St
Suite 500
Saint Louis, MO 63103-2303
Mailing address
1430 Olive St
Suite 400
Saint Louis, MO 63103-2303
Phone (314) 206-3750
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009032467 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling and Consulting Services, LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1235772617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1669496808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "SUITE 400",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3750",
"fax_number": "314-206-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "SUITE 500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3700",
"fax_number": "314-206-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CANDICE",
"middle_name": "RERIEE",
"name_prefix": "Ms.",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009032467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.