CANDICE WALLER LPC-MHSP
NPI 1588138911
Counselor - Professional in Tucson, AZ
NPI Status: Active since January 18, 2019
Contact Information
5055 E BROADWAY BLVD STE C104
TUCSON, AZ
ZIP 85711
Phone: (520) 623-9833
Fax: (520) 923-9083
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
About CANDICE WALLER
This page provides the complete NPI Profile along with additional information for Candice Waller, a provider established in Tucson, Arizona with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1588138911 assigned on January 2019. The practitioner's primary taxonomy code is 101YP2500X with license number LPC-19614 (AZ). The provider is registered as an individual and her NPI record was last updated 4 years ago. Candice Waller operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1588138911
- Provider Name
- CANDICE WALLER LPC-MHSP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5055 E BROADWAY BLVD STE C104 TUCSON, AZ 85711
- Location Phone
- (520) 623-9833
- Location Fax
- (520) 923-9083
- Mailing Address
- 7670 N STAR GRASS DR TUCSON, AZ 85741
- Mailing Phone
- (678) 925-6598
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-18-2019
- Last Update Date
- 06-13-2022
- Code Navigator
Location Map
Secondary Locations
- 2856 Bridle Creek Dr SW
Conyers, GA 30094
(678) 925-6598 - 7670 N Star Grass Dr
Tucson, AZ 85741
(678) 925-6598
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC-19614
- License State
- AZ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LPC0000004067 (TN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue Portfolio Bronze HSA Focus - HMO
- AZ Blue Portfolio Bronze HSA Neighborhood - HMO
- AZ Blue StandardHealth Bronze Focus - HMO
- AZ Blue StandardHealth Bronze Neighborhood - HMO
- AZ Blue StandardHealth Gold Focus - HMO
- AZ Blue StandardHealth Gold Neighborhood - HMO
- AZ Blue StandardHealth Silver Focus - HMO
- AZ Blue StandardHealth Silver Neighborhood - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| LPC-19614 | OTHER (01) | AZ | LICENSE |
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588138911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
TUCSON, AZ 85711
TUCSON, AZ 85711
TUCSON, AZ 85711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588138911, enumerated as an "individual" on January 18, 2019.
The provider is located at 5055 E BROADWAY BLVD STE C104 TUCSON, AZ 85711 and the phone number is (520) 623-9833.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.
