CANDICE RAYLINE BEAVERS
NPI 1649988148
Peer Specialist in Norwalk, CA

Active since November 14, 2022
12501 IMPERIAL HWY, NORWALK, CA 90650(562) 864-7821 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Candice Rayline Beavers NPPES

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

CANDICE RAYLINE BEAVERS (NPI 1649988148) is an individual peer specialist in Norwalk, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1649988148
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCANDICE RAYLINE BEAVERS
Location Address12501 IMPERIAL HWYNorwalk, CA 90650-3179
Mailing Address12501 Imperial HwyNorwalk, CA 90650-3179 · (562) 864-7821
Sole ProprietorNo
Enumeration DateNovember 14, 2022
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
NPI 1649988148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
12501 IMPERIAL HWY, Norwalk, CA 90650

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
12501 IMPERIAL HWY, #400
NORWALK, CA 90650
Social Worker (Clinical)
12501 IMPERIAL HWY, SUITE 400
NORWALK, CA 90650
Home Health
12501 IMPERIAL HWY, SUITE 130
NORWALK, CA 90650
Psychiatry & Neurology (Psychiatry)
12501 IMPERIAL HWY, 4TH FLOOR SUITE 400
NORWALK, CA 90650
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12501 IMPERIAL HWY, SUITE 400
NORWALK, CA 90650
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12501 IMPERIAL HWY, SUITE 400
NORWALK, CA 90650
Social Worker (Clinical)
12501 IMPERIAL HWY, STE. 400
NORWALK, CA 90650
Behavior Analyst
12501 IMPERIAL HWY
NORWALK, CA 90650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649988148, enumerated as an "individual" on November 14, 2022.

The provider is located at 12501 IMPERIAL HWY NORWALK, CA 90650 and the phone number is (562) 864-7821.

Peer Specialist with taxonomy code 175T00000X.