Candace Michelle Boswell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A2203012 Issued in AR

Practice address

702 N Main St Ste F
Harrison, AR 72601-2920

Phone

(870) 340-2636

Fax

(833) 226-0134

NPI assigned

Dec 10, 2021

Last updated

Oct 14, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Soul Purpose Counseling Co.

  • Professional Counselor
  • Harrison, AR
  • NPI 1306786116
  NPD Authorized official
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1851050413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY STE 290",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113581",
            "telephone_number": "870-340-2636",
            "fax_number": "888-816-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST STE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012920",
            "telephone_number": "870-340-2636",
            "fax_number": "833-226-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "CANDACE",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A2203012",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luana D Booth, CRNA
• Theodore Paul Borchers, OTRL
• Russell Borland, MHPP
• Boston Mountain Rural Health Center Inc. (Bmrhc Women's Health Center)
• Boston Mountain Rural Health Center Inc.
• John-Keith William Boswell, PT, DPT
• Joe E. Bowers, D.D.S.
• William Randolph Bowling, PT, DPT
• Braces of the Ozarks, LLC (Tatum Orthodontics)
• Brittany Bramley, LAC

• Professional Counselor in Harrison, AR
• Providers in Harrison, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.