Active NPI
Candace Elizabeth Lowry, DSW, LCSW
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1912923616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 126654-3501
- Practice address
- 1054 E 900 S
Salt Lake City, UT 84105-1433 - Phone
- (801) 561-2140
- Fax
- (801) 359-4025
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 126654-3501 | UT | Primary |
Addresses
Primary practice location
1054 E 900 S
Salt Lake City, UT 84105-1433
Mailing address
1153 Trimble Creek Dr
West Jordan, UT 84088-9084
Phone (801) 561-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120320000413 | UT | Practitioner - Clinical Social Worker | 1951561521 | Practice locations: Salt Lake City, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1054 E 900
Salt Lake City, UT 84105-1433
Phone (801) 561-2140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126654-3501 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1912923616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 TRIMBLE CREEK DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889084",
"telephone_number": "801-561-2140",
"fax_number": "801-359-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 E 900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051433",
"telephone_number": "801-561-2140",
"fax_number": "801-359-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "CANDACE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "126654-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.