Candice Mitchell, MS,LGPC,NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP11470 Issued in MD

Practice address

11155 Stratfield CT
Marriottsville, MD 21104-1650

Phone

(443) 219-5412

NPI assigned

May 12, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Candice Mitchell Ferinde Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fundamental Solutions Psychotherapy. LLC

  • Adult Mental Health Clinic/Center
  • Marriottsville, MD
  • NPI 1447995253
  NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1760066062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 STRATFIELD CT # 21104",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041650",
            "telephone_number": "443-934-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 STRATFIELD CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041650",
            "telephone_number": "443-219-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CANDICE",
        "credential": "MS,LGPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11470",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "MITCHELL FERINDE",
            "credential": "MS,LGPC,NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Michael Seamus Meteer, PTA
• Michelle Ann Miller, PT
• Moon Healing Acupuncture & Integrative Health LLC
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• Professional Counselor in Marriottsville, MD
• Providers in Marriottsville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.