Individual provider Active NPI

Candice Creasman Mowrey, PHD, LCMHCS

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1760701304
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7772 Issued in NC
Practice address
715 W Morgan St
Raleigh, NC 27603-1611
Phone
(919) 977-0087
Fax
(919) 890-0852
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7772 NC Primary

Addresses

Primary practice location

715 W Morgan St
Raleigh, NC 27603-1611

Mailing address

715 W Morgan St
Raleigh, NC 27603-1611
Phone (919) 977-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7772NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creasman Counseling, PLLC Professional CurrentSince Nov 1, 2020 Accepting new patients

Locations

1140 Kildaire Farm Rd
Ste 207
Cary, NC 27511
Phone (919) 985-5052

115 S Saint Marys St
Ste D
Raleigh, NC 27603
Phone (919) 606-2699

715 W Morgan St
Raleigh, NC 27603
Phone (919) 823-6724

105 S Bloodworth St
Raleigh, NC 27601
Phone (919) 977-0087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1760701304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MORGAN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031611",
            "telephone_number": "919-977-0087",
            "fax_number": "919-890-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MORGAN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031611",
            "telephone_number": "919-977-0087",
            "fax_number": "919-890-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWREY",
        "first_name": "CANDICE",
        "middle_name": "CREASMAN",
        "credential": "PHD,  LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.