Active NPI
Candice Renee Hunter
- Behavior Analyst
- Jackson, TN
National Provider Identifier
1871085282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 49 Wind Tree CV
Jackson, TN 38305-2974 - Phone
- (313) 384-6341
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
49 Wind Tree CV
Jackson, TN 38305-2974
Mailing address
49 Wind Tree CV
Jackson, TN 38305-2974
Phone (313) 384-6341
Other practice location 1
24 Weatherford Sq
Jackson, TN 38305-2202
Phone (731) 660-6760
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Therapy Solutions | Behavior Analyst | Current | Accepting new patients |
Locations
49 Wind Tree Cv
Jackson, TN 38305
Phone (313) 384-6341
Organizations & group practices 1
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.
-
- Behavior Analyst
- Jackson, TN
- NPI 1568024313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1871085282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WIND TREE CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052974",
"telephone_number": "313-384-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WIND TREE CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052974",
"telephone_number": "313-384-6341"
}
],
"practiceLocations": [
{
"address_1": "24 Weatherford Sq",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383052202",
"country_code": "US",
"telephone_number": "731-660-6760",
"fax_number": "731-267-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTER",
"first_name": "CANDICE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.