Candice Beatty, LPC,MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000004941 Issued in TN

Practice address

5217 Maryland Way Ste 307
Brentwood, TN 37027-1056

Phone

(615) 882-1792

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Candice Rae Kvistad Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

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.

• Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
  • NPI 1124756085
  Medicare reassignment NPD
• RH Mental Health, LLC

  • Multi-Specialty Clinic/Center
  • Murfreesboro, TN
  • NPI 1598413833
  NPD
• Wellbee One

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brentwood, TN
  • NPI 1528788239
  NPD
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Mental Health

  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1699877043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 OVERLAKE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328067123",
            "telephone_number": "407-718-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 MARYLAND WAY STE 307",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271056",
            "telephone_number": "615-882-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2869 Wilshire Dr",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353282",
            "country_code": "US",
            "telephone_number": "407-578-6200",
            "fax_number": "407-578-3977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "CANDICE",
        "name_prefix": "Ms.",
        "credential": "LPC,MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6645",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000004941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "KVISTAD",
            "middle_name": "RAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Be Well, PLLC
• Claire Cobb Beaird, OD
• Sarah Beam
• Victoria Bear, LMFT
• Jena Shoemaker Beasley, DPT
• Suzanna R Beatty, APRN
• Amy Ruth Beauchamp, M.A., CCC-SLP
• Caroline H Beavers, LPC
• Zeth Thomas Beazer
• Eric Beck

• Professional Counselor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.