CANDICE NICOLE CHRISTENSEN
NPI 1477167930
Counselor - Mental Health in Thousand Oaks, CA

Active since September 02, 2020Opted out of Medicare · through Oct 29, 2026
280 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360(805) 624-0175 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Candice Nicole Christensen NPPES

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

CANDICE NICOLE CHRISTENSEN (NPI 1477167930) is an individual mental health provider in Thousand Oaks, California, licensed in California (8399) and active in the NPI registry since September 2020. She has opted out of Medicare through October 29, 2026.

NPPES Registry Identity

NPI1477167930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDICE NICOLE CHRISTENSEN
Location Address280 E THOUSAND OAKS BLVDThousand Oaks, CA 91360-5824
Mailing Address280 E Thousand Oaks BlvdThousand Oaks, CA 91360-5824 · (805) 624-0175
Sole ProprietorNo
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
NPI 1477167930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 8399
280 E THOUSAND OAKS BLVD, Thousand Oaks, CA 91360

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Candice Nicole Christensen has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2024 through October 29, 2026.

Opt-Out Effective DateOctober 29, 2024
Opt-Out In Effect ThroughOctober 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
280 E THOUSAND OAKS BLVD, SUITE D
THOUSAND OAKS, CA 91360
Community/Behavioral Health
280 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Marriage & Family Therapist
280 E THOUSAND OAKS BLVD, SUITE D
THOUSAND OAKS, CA 91360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477167930, enumerated as an "individual" on September 02, 2020.

The provider is located at 280 E THOUSAND OAKS BLVD THOUSAND OAKS, CA 91360 and the phone number is (805) 624-0175.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.