NPIMap

Organization Active NPI

Candace Walters and Associates

  • Professional Counselor
  • La Grande, OR
National Provider Identifier
1710748207
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CANDACE WALTERS AND ASSOCIATES
Practice address
105 Fir St.
#327 Sac Annex BLDG.
La Grande, OR 97850-2663
Phone
(541) 246-3638
Fax
(360) 844-5184
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Amy L Young
Title
Office Manager/Billing
Phone
(360) 210-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

105 Fir St.
#327 Sac Annex BLDG.
La Grande, OR 97850-2663

Mailing address

60117 Hwy 203
Union, OR 97883-9521
Phone (360) 210-7301

Other identifiers 1

IdentifierTypeStateIssuer
500708689MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1710748207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60117 HWY 203",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978839521",
            "telephone_number": "360-210-7301",
            "fax_number": "360-844-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIR ST.",
            "address_2": "#327 SAC ANNEX BLDG.",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502663",
            "telephone_number": "541-246-3638",
            "fax_number": "360-844-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE WALTERS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING",
        "authorized_official_telephone_number": "360-210-7301"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500708689",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.