Individual provider Active NPI

Candice G. Marshall, LPC

  • Counselor
  • Lansing, MI
National Provider Identifier
1932543337
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401013278 Issued in MI
Practice address
7715 Trestlewood Dr
Apt 3B
Lansing, MI 48917-8797
Phone
(313) 330-1221
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013278 MI Primary
Professional Counselor 101YP2500X 6401013278 MI

Addresses

Primary practice location

7715 Trestlewood Dr
Apt 3B
Lansing, MI 48917-8797

Mailing address

7715 Trestlewood Dr
Apt 3B
Lansing, MI 48917-8797
Phone (313) 330-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231127002482 MI Practitioner - Mental Health Counselor 0143678417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Eastwood Behavioral HealthGroup PAC ID 2163324492, 51 clinicians

Practice addresses (Care Compare)

22151 Moross Rd
Detroit, MI 48236-2167
Phone (313) 343-7230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

22151 Moross Rd
Ste 334
Grosse Pointe, MI 48236
Phone (313) 343-7230

22151 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-4867

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266

Interoperability endpoints

  • Direct secure messaging: cmarshall1140252@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1932543337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 TRESTLEWOOD DR",
            "address_2": "APT 3B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178797",
            "telephone_number": "313-330-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 TRESTLEWOOD DR",
            "address_2": "APT 3B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178797",
            "telephone_number": "313-330-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CANDICE",
        "middle_name": "G.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013278",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.