Active NPI
Candice Caddle, LPC
- Professional Counselor
- Suffolk, VA
National Provider Identifier
1962007740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010152
- Practice address
- 116 Independence CT
Suffolk, VA 23434-2369 - Phone
- (757) 285-3645
- NPI assigned
- Dec 1, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701010152 | VA | |
| Professional Counselor | 101YP2500X | 0701010152 | VA | Primary |
Addresses
Primary practice location
116 Independence CT
Suffolk, VA 23434-2369
Mailing address
116 Independence CT
Suffolk, VA 23434-2369
Phone (757) 285-3645
Other practice location 1
548 Battlefield Blvd S Ste A
Chesapeake, VA 23322-5363
Phone (757) 359-8144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20240410001204 | VA | Practitioner - Mental Health Counselor | 0244678233 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
116 Independence CT
Suffolk, VA 23434-2369
Phone (757) 359-8144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701010152 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Step to Healing | Current | Accepting new patients |
Locations
548 Battlefield Blvd S
Ste A
Chesapeake, VA 23322
Phone (757) 277-9222
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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1962007740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 INDEPENDENCE CT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234342369",
"telephone_number": "757-285-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 INDEPENDENCE CT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234342369",
"telephone_number": "757-285-3645"
}
],
"practiceLocations": [
{
"address_1": "548 Battlefield Blvd S Ste A",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233225363",
"country_code": "US",
"telephone_number": "757-359-8144",
"fax_number": "757-974-9383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CADDLE",
"first_name": "CANDICE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701010152",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.