Organization Active NPI

Candice R Hogden

Doing business as Christus Light Counseling

  • Social Worker
  • Peoria, IL
National Provider Identifier
1770650442
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2243-123 Issued in WI
Legal business name
CANDICE R HOGDEN
Doing business as
Christus Light Counseling
Practice address
5016 N University
Christus Light Counseling Ste 109
Peoria, IL 61614-4763
Phone
(309) 692-1220
Fax
(309) 692-1222
NPI assigned
Nov 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Candice Rae Hogden, MS LCPC LCSWNPI 1780806539
Title
Director Counselor
Phone
(309) 692-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL
Social Worker 104100000X 2243-123 WI Primary

Addresses

Primary practice location

5016 N University
Christus Light Counseling Ste 109
Peoria, IL 61614-4763

Mailing address

5016 N University
Christus Light Counseling Ste 109
Peoria, IL 61614-4763
Phone (309) 692-1220

Other identifiers 7

IdentifierTypeStateIssuer
103515OtherILHEALTH ALLIANCE
236610OtherILVALUE OPTIONS
357929OtherILMHN
39281200MedicaidWI
7230084OtherILAETNA
469922OtherILHEALTHLINK
07232101OtherILBCBS

Other names 1

  • Christus Light Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

5016 N University St
Ste 109
Peoria, IL 61614
Phone (309) 258-0084

Practitioners & affiliated clinicians

Practitioners 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770650442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 N UNIVERSITY",
            "address_2": "CHRISTUS LIGHT COUNSELING STE 109",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144763",
            "telephone_number": "309-692-1220",
            "fax_number": "309-692-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 N UNIVERSITY",
            "address_2": "CHRISTUS LIGHT COUNSELING STE 109",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144763",
            "telephone_number": "309-692-1220",
            "fax_number": "309-692-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE R HOGDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOGDEN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR COUNSELOR",
        "authorized_official_telephone_number": "309-692-1220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LCPC LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2243-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "103515",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "236610",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "357929",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39281200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7230084",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "469922",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07232101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christus Light Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.