Candice Ericksen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401222444 Issued in MI

Practice address

35054 23 Mile Rd Ste 104
New Baltimore, MI 48047-2019

Phone

(586) 863-4000

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• 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

Practice roles

Locations

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.

• Transcendent Bodhi Psychotherapy LLC

  • Professional Counselor
  • Shelby TWP, MI
  • NPI 1922727973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1730745266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 21 MILE RD STE 2",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483174309",
            "telephone_number": "586-943-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35054 23 MILE RD STE 104",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472019",
            "telephone_number": "586-863-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Caroline Dooge, IBCLC
• Dove of Peace Christian Counseling PLLC
• Ken Dubay Jr., RPH
• Terri Ellen Duganne, LMSW
• Kenneth D Edgington, M.A., CCC-SLP
• Family Matters 2, Inc
• Teela Elaine Finley, FNP
• Sharleen Floer, LMSW
• For Life Nutrition LLC
• Four Towers Investment Inc.

• Professional Counselor in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.