Candace Monique Beasley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LG12423

Practice address

5909 Oslo CT
Columbia, MD 21044-5735

Phone

(410) 963-8512

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Happynest LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Columbia, MD
  • NPI 1962263673
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1922710300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 OSLO CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445735",
            "telephone_number": "410-963-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 OSLO CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445735",
            "telephone_number": "410-963-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "CANDACE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LG12423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fofie Bazzie, FO BAZZIE
• Be the Change Health & Wellness Center, P.C. (Be The Change Health & Wellness Center)
• Noah Beall
• Zaneb Khan Beams, MD
• Latrice Beard
• Teaira Beasley
• Beat Rehabilitation and Wellness, LLC (Beat Physical Therapy)
• Kenyata Beatty
• Stephanie Nicole Beatty, PT, DPT
• Beaudry Psychological Services, L.L.C.

• Professional Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.