Candice A Blumhardt, LPCC
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1700969227 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1700969227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPCC 5158104158 (ND)
- Practice address
- 1720 University Dr
Fargo, ND 58103-4904 - Phone
- (701) 234-7400
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC 5158104158 | ND | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 515-8-1-04-158 | ND | |
| Professional Counselor | 101YP2500X | LPCC 5158104158 | ND | Yes |
Addresses
Primary practice location
1720 University Dr
Fargo, ND 58103-4904
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Fargo, ND
- Noelle Estherlene Blue Arm
- Blue Eye Inc
- Blue Water Therapy, LLC
- Elizabeth R Blue
- Jennifer Blue
- Rachel A Blumhardt
- Amber Blunt
- Cosmos Boadi
- Abena Boaduwaa
- Harrison Boateng
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.