Individual provider Active NPI

Candace Shuel, LPC

  • Counselor
  • Flint, MI
National Provider Identifier
1679080089
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017975 Issued in MI
Practice address
2387 S Linden Rd Ste 124
Flint, MI 48532-5487
Phone
(810) 214-4110
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401017975 MI
Professional Counselor 101YP2500X 6401016313 MI
Counselor 101Y00000X 6401017975 MI Primary

Addresses

Primary practice location

2387 S Linden Rd Ste 124
Flint, MI 48532-5487

Mailing address

2208 Winding Way Dr
Davison, MI 48423-2041
Phone (810) 214-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231208001425 MI Practitioner - Mental Health Counselor 4385093848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016313MIMDProfessional Counselor
6401017975MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMS Counseling Services LLC Professional CurrentSince Jun 21, 2020 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2387 S Linden Rd
Ste 124
Flint, MI 48532
Phone (810) 513-0281

8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (248) 605-3525

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1679080089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 WINDING WAY DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232041",
            "telephone_number": "810-214-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 S LINDEN RD STE 124",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325487",
            "telephone_number": "810-214-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEL",
        "first_name": "CANDACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017975",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016313",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.