Active NPI
Candice N Shell, CT
- Mental Health Counselor
- Wooster, OH
National Provider Identifier
1801023650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.0900222-TRNE
- Practice address
- 2285 Benden Dr
Wooster, OH 44691-2568 - Phone
- (330) 263-0380
- Fax
- (330) 263-7251
- NPI assigned
- Jun 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0900222-TRNE | OH | Primary |
Addresses
Primary practice location
2285 Benden Dr
Wooster, OH 44691-2568
Mailing address
2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 263-0380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0900222-TRNE | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1801023650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 BENDEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912568",
"telephone_number": "330-263-0380",
"fax_number": "330-263-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 BENDEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912568",
"telephone_number": "330-263-0380",
"fax_number": "330-263-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELL",
"first_name": "CANDICE",
"middle_name": "N",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0900222-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.