Candice Caldwell Moffatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11574 Issued in NC

Practice address

11709 Fruehauf Dr Ste 124
Charlotte, NC 28273-7286

Phone

(704) 534-2082

Fax

(888) 416-8540

NPI assigned

Feb 17, 2017

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• New Vision Therapy & Wellness, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1134749633
  Medicare reassignment Authorized official
• Center for Emotional Health

  • Addiction Psychiatry Physician
  • Gastonia, NC
  • NPI 1174922348
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1871032359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 HALL SPENCER RD",
            "city": "CATAWBA",
            "state": "SC",
            "postal_code": "297049401",
            "telephone_number": "803-448-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR STE 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282737286",
            "telephone_number": "704-534-2082",
            "fax_number": "888-416-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "CANDICE",
        "middle_name": "CALDWELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11574",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kathleen Boyce Moeller, MD
• Virginia Grace Moeller, DPT
• Taylor Ramsey Moen, PHARMD
• Moes RX Clinic Inc (Moe's RX Clinic)
• Helen Mahairas Moffat, RPH
• Lawrence S. Moffatt Jr., MD
• Jaime Leigh Moffett, LCSW
• Janey M Moffett
• Rachel Page Moffett, DO
• Edward R Mogabgab, M.D.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.