Candace Frost, MA, LCPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP3011-R Issued in NV

Practice address

37 Fox Trace CT
Henderson, NV 89074-6282

Phone

(702) 503-9323

NPI assigned

Sep 24, 2018

Last updated

Jan 18, 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 3

Addresses

Other names 1

• Candace Judd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1790269884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FOX TRACE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746282",
            "telephone_number": "702-503-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FOX TRACE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746282",
            "telephone_number": "702-503-9323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 S Cowley St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021377",
            "country_code": "US",
            "telephone_number": "509-624-3227 x1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "CANDACE",
        "credential": "MA, LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60884804",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60996550",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP3011-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "JUDD",
            "credential": "MA, LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Rae Friedland, APRN
• Tiama E. Friend, M.D.
• Philip Friesen
• Gifty Frimpong
• Yvonne Ann Fritz, PSYD
• Ty Frost
• Amanda J Fruge, AGACNP-BC
• Amanda Fry
• Brittany Fryer, RDN, LD
• Juian-Juian L Fu, M.D. & PH.D.

• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.