Candace Lynn Whitman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010893 Issued in IL

Practice address

2323 Windish Dr
Galesburg, IL 61401-9780

Phone

(309) 344-4250

Fax

(309) 344-4281

NPI assigned

Nov 13, 2015

Last updated

Aug 8, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Harmony & Holistic Health Counseling Center

  dba Wild Moon Counseling

  • Community/Behavioral Health Agency
  • Galesburg, IL
  • NPI 1558928960
  NPD Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1770957730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 W LOSEY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012301",
            "telephone_number": "309-255-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WINDISH DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019780",
            "telephone_number": "309-344-4250",
            "fax_number": "309-344-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "CANDACE",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370984175-006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Illinois Managed Home Services, Inc.
• Western Illinois Oral & Maxillofacial Surgery, LTD.
• Meagan Wheeler, PT
• Jesse Wheelhouse, MHP
• Jill D Whiteside, CRNA
• Thomas J Whittle, M.D.
• Mark A Wiechert, M.D.
• Ronald J Wiechert, MD, PHD
• Rita Nichole Wilcox, DC
• Warren Matthew Wilkins, M.D.

• Professional Counselor in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.