Individual provider Active NPI

Candace N. Thornton, LMFT

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1679285316
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002047 Issued in NY
Practice address
4898 Grolier Rd Apt 7
Syracuse, NY 13215-2266
Phone
(315) 327-7507
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002047 NY Primary

Addresses

Primary practice location

4898 Grolier Rd Apt 7
Syracuse, NY 13215-2266

Mailing address

4898 Grolier Rd Apt 7
Syracuse, NY 13215-2266
Phone (315) 327-7507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240802002603 NY Practitioner - Marriage and Family Therapist 8729525134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002047NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of the Mohawk Valley, Inc CurrentSince Jul 25, 2024 Accepting new patients
Samaritan Counseling Center of the Mohawk Valley, Inc PastSince Jul 25, 2024 Accepting new patients

Locations

1612 Genesee St
Utica, NY 13502
Phone (315) 724-5173

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1679285316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 GROLIER RD APT 7",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152266",
            "telephone_number": "315-327-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 GROLIER RD APT 7",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152266",
            "telephone_number": "315-327-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CANDACE",
        "middle_name": "N.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.