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CANDACE RAE JOHNSON LICSW, LADC
NPI 1912638552
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
2230 COMO AVE, SAINT PAUL, MN 55108(612) 730-9429 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candace Rae Johnson Licsw, Ladc NPPES

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

CANDACE RAE JOHNSON LICSW, LADC (NPI 1912638552) is an individual student in an organized health care education/training program in Saint Paul, Minnesota, licensed in Minnesota (30874) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912638552
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCANDACE RAE JOHNSONCredential: LICSW, LADC
Location Address2230 COMO AVESaint Paul, MN 55108-1720
Mailing Address2230 Como AveSaint Paul, MN 55108-1720
Phone(612) 730-9429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2022
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1912638552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · 30874
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 30874 (MN)
2230 COMO AVE, Saint Paul, MN 55108
Open in Google Maps ↗

Other Names 1

Former Name (1)Candace Rae Bartheidel Ladc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candace Rae Johnson Licsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537605670
PECOS Enrollment IDI20240724003598
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JENNIFER WILSON
Social Worker
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 635-0095
JANELLE ZIMMERMAN MA, LPCC
Counselor (Mental Health)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
SHANELL PARIS FYLE RDN
Student in an Organized Health Care Education/Training Program
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
ANNA CATHERINE BISHOP MS, RDN
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
BEVERLY LABRIE LMFT
Marriage & Family Therapist
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
EMILY PROGRAM PC
Community Based Residential Treatment Facility, Mental Illness
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
JENNIFER LYNN WOLF BURG RD
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
MACKENNA LILLIS PAGE MA
Counselor (Professional)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977

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 Candace Johnson's NPI number?

The NPI number for Candace Johnson is 1912638552. It was assigned to this individual provider in the NPPES registry on June 23, 2022. The provider is also known as Candace Rae Bartheidel Ladc.

Where is Candace Johnson located?

Candace Johnson practices at 2230 Como Ave, Saint Paul, MN 55108. The listed phone number is (612) 730-9429.

What is Candace Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Candace Johnson enrolled in Medicare?

Yes. Candace Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candace Johnson accept?

Health plans from HealthPartners and Medica list Candace Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candace Johnson was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.