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CANDICE PHYLLIS LOVE SHIDLER QMHA
NPI 1295218063
Community/Behavioral Health in Klamath Falls, OR

Active since September 07, 2018
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-1030 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Phyllis Love Shidler Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE PHYLLIS LOVE SHIDLER QMHA (NPI 1295218063) is an individual community/behavioral health provider in Klamath Falls, Oregon and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1295218063
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameCANDICE PHYLLIS LOVE SHIDLERCredential: QMHA
Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601-6418
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418
Phone(541) 883-1030
Sole ProprietorYes
Enumeration DateSeptember 7, 2018
✔ NPI 1295218063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2210 N ELDORADO AVE, Klamath Falls, OR 97601
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Other Names 1

Former Name (1)Candice Phyllis Love Jaskiewicz

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA BOCHSLER
Registered Nurse
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
KLAMATH CHILD AND FAMILY TREATMENT CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1028
MRS. BRITTANIA NICOLE WELCH
Social Worker (Clinical)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
MISTY WATTS
Counselor
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
KEANU MCCUNE
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
LANA LIANA COLLIER
Peer Specialist
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
CASSANDRA ANNAHI SILVA
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (431) 883-1030
LUCIA NINO
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Shidler's NPI number?

The NPI number for Candice Shidler is 1295218063. It was assigned to this individual provider in the NPPES registry on September 7, 2018. The provider is also known as Candice Phyllis Love Jaskiewicz.

Where is Candice Shidler located?

Candice Shidler practices at 2210 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-1030.

What is Candice Shidler's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Candice Shidler was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.