Candice Lynell Ott, BA BHRS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

113 W Ada Ave
Wilburton, OK 74578-2416

Phone

(918) 297-3400

Fax

(918) 297-3401

NPI assigned

Sep 13, 2012

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Couselors Group Inc.

  • Community/Behavioral Health Agency
  • McAlester, OK
  • NPI 1841574589
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1982954228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ADA AVE",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745782416",
            "telephone_number": "918-297-3400",
            "fax_number": "918-297-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ADA AVE",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745782416",
            "telephone_number": "918-297-3400",
            "fax_number": "918-297-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "CANDICE",
        "middle_name": "LYNELL",
        "credential": "BA BHRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Nelson
• Lillian Ann Nelson
• Samantha Nelson
• Casey Dillon Osterhout, DMD
• Osu Center for Health Sciences (Osu-Aj Ranas Family Medical Clinic, PC)
• Cody Shane Ott, BA
• Panola School District 4
• Christi Pollard
• Mona Quaid
• Gerald D Rana II, D.O.

• Counselor in Wilburton, OK
• Providers in Wilburton, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.