Candra Jamae Poitras, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

567 Madison St
Saint Charles, MO 63301-2747

Phone

(636) 699-0872

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1861949893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 TIMBERWOOD CROSSING CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317518",
            "telephone_number": "314-803-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 MADISON ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012747",
            "telephone_number": "636-699-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITRAS",
        "first_name": "CANDRA",
        "middle_name": "JAMAE",
        "name_prefix": "Miss",
        "credential": "MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Pitlyk, PNP
• Plaza Healthcare Network
• Plaza Healthcare Network
• Jenna Christine Plude, CNP
• Marshall E. Poger, M.D.
• Demetrios V Politis, DO
• Brandon Pollard, DDS
• Amanda Pollmann
• Christopher D Polzin, MBS, LPC
• Jay L Poole, CRNA

• Mental Health Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.