NPIMap

Individual provider Active NPI

Candace E Gilmore, M.A., L.M.H.C.

  • Professional Counselor
  • Bothell, WA
National Provider Identifier
1982960092
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LH00004697 Issued in WA
Practice address
10309 NE 185TH St
Bothell, WA 98011-3437
Phone
(425) 485-6541
Fax
(425) 485-4154
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LH00004697 WA Primary

Addresses

Primary practice location

10309 NE 185TH St
Bothell, WA 98011-3437

Mailing address

10309 NE 185TH St
Bothell, WA 98011-3437
Phone (425) 485-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00004697WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northstore Youth & Family SVCS Past Accepting new patients
Northshore Youth and Family Services Past Accepting new patients

Organizations & group practices 2

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1982960092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113437",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113437",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "CANDACE",
        "middle_name": "E",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00004697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.