Active NPI
Candice Mae Tatro, LPC
- Counselor
- Lapeer, MI
National Provider Identifier
1679837769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013138
- Practice address
- PO Box 591
Lapeer, MI 48446-0591 - Phone
- (810) 356-3304
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013138 | MI | Primary |
Addresses
Primary practice location
PO Box 591
Lapeer, MI 48446-0591
Mailing address
11965 Yale Rd
Brockway, MI 48097-2858
Phone (810) 691-5050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013138 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1679837769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11965 YALE RD",
"city": "BROCKWAY",
"state": "MI",
"postal_code": "480972858",
"telephone_number": "810-691-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 591",
"city": "LAPEER",
"state": "MI",
"postal_code": "484460591",
"telephone_number": "810-356-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATRO",
"first_name": "CANDICE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.