CANDICE LANGE (NPI# 1487203352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487203352 |
| Entity Type | Individual |
| Full Name | CANDICE LANGE |
| Practice Address |
125 Penfield Rd Fairfield CT 06824-6611 |
| Practice Telephone | 2032555777 |
| Mailing Telephone | 2032555777 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003821 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004069985 | 05 |
| Street Address |
125 PENFIELD RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255570586 | Maurice Hartigan | Counselor | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2009-02-10 |
| 1982216511 | Kathleen Ridgway | Counselor | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2020-08-17 |
| 1619432473 | Senja A Foster | Marriage & Family Therapist | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2019-02-06 |
| 1437626132 | Zoe Carona | Social Worker | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2018-10-31 |
| 1053897108 | Lisa R Shoglow | Marriage & Family Therapist | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2018-07-12 |
| 1821584822 | Kathryn Clara Mcneish | Marriage & Family Therapist | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2018-07-03 |
| 1164936951 | Trina Wong | Marriage & Family Therapist | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2017-12-01 |
| 1942663604 | Anna Boxleitner | Counselor | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2016-03-31 |
| 1619352879 | Katelin Dressel | Counselor | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2015-07-29 |
| 1407249337 | Kathy Glockler | Marriage & Family Therapist | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2015-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756517 | Kara Yass LLC | Counselor | 1401 Post Rd, Fairfield, CT 06824-5907 | 2019-08-20 |
| 1396390423 | Susan S Starkie LLC | Counselor | 156 Round Hill Rd, Fairfield, CT 06824-5114 | 2019-08-06 |
| 1710549399 | Susan Starkie | Counselor | 156 Round Hill Rd Ste A, Fairfield, CT 06824-5114 | 2019-07-03 |
| 1710455373 | Samimah Aziz | Counselor | 1545 Webster St Ste A, Fairfield, CA 94533-4917 | 2018-11-12 |
| 1770059131 | Mallory Bonarrigo | Counselor | 168 Chatham Rd, Fairfield, CT 06825-1402 | 2018-10-23 |
| 1952881690 | Shen Counseling, LLC | Counselor | 263 Mill River Rd, Fairfield, CT 06824-2958 | 2018-08-21 |
| 1922525005 | Lauren Cuccaro Rinn | Counselor | 34 Sherman Ct Fl 2, Fairfield, CT 06824-5826 | 2017-08-29 |
| 1881054351 | Maurice Geddis | Counselor | 1234 Empire St Fl 2, Suite2300, Fairfield, CA 94533-5711 | 2016-02-26 |
| 1013373661 | Melissa Pardi | Counselor | 435 Mountain Meadows Dr, Fairfield, CA 94534-6714 | 2016-01-12 |
| 1932579794 | Megan Ann Burton | Counselor | 630 5th Ave North, Fairfield, MT 59436 | 2015-10-05 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.