Kandis Hayes Baldwin, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

102638 Issued in TX

Practice address

21045 W McDowell Rd Unit 704
Buckeye, AZ 85396-2093

Phone

(623) 522-7655

NPI assigned

Mar 23, 2026

Last updated

Jun 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mindbender Counseling, Inc

  • Professional Counselor
  • Buckeye, AZ
  • NPI 1528984689
  NPD (past) Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1992643019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21045 W MCDOWELL RD UNIT 704",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962093",
            "telephone_number": "623-522-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21045 W MCDOWELL RD UNIT 704",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962093",
            "telephone_number": "623-522-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Summit Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761024419",
            "country_code": "US",
            "telephone_number": "623-522-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KANDIS",
        "middle_name": "HAYES",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "102638",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-16595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azlabs2Go LLC
• Eliana Baca, DPT
• Ruth Bailey, PMHNP
• Lindsay Faith Baird
• Bahati Bakanga
• Tina L Baldwin, FNP
• Tiarence Banda
• Neha Bandi
• Banner Estrella Medical Center
• Banner Primary Care Physicians Arizona LLC

• Professional Counselor in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.