Candor Recovery Services Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CANDOR RECOVERY SERVICES INCORPORATED

Doing business as

Candor Recovery and Consulting, LLC

Practice address

5619 NW 86TH St Ste 500
Johnston, IA 50131-2955

Phone

(515) 240-7285

NPI assigned

Dec 1, 2023

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin L Helleso, LISWNPI 1790190163

Title

Owner

Phone

(515) 240-7285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Candor Recovery and Consulting, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Helleso, LISW

  • Clinical Social Worker
  • Johnston, IA
  • NPI 1790190163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1891561650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 NW 86TH ST STE 500",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312955",
            "telephone_number": "515-240-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 NW 86TH ST STE 500",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312955",
            "telephone_number": "515-240-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR RECOVERY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "HELLESO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-240-7285",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790190163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candor Recovery and Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Johnston, IA
• Providers in Johnston, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.