CANDACE RAE JEFFRIES NICHOLS (NPI# 1568650463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568650463 |
| Entity Type | Individual |
| Full Name | CANDACE RAE JEFFRIES NICHOLS |
| Other Name | CANDACE RAE JEFFRIES |
| Credential | MS LPC |
| Practice Address |
1108 N Wheeler Ave Sallisaw OK 74955-2227 |
| Mailing Address |
1108 N Wheeler Ave Sallisaw OK 74955 |
| Practice Telephone | 9187755513 |
| Mailing Telephone | 9187755513 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4595 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709313 | Candace Mccullough Nichols | Pharmacist | 1938 Peachtree Rd Nw, Atlanta, GA 30309-1267 | 2005-08-31 |
| 1346755444 | Candace H Nichols | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2017-12-12 |
| Street Address |
1108 N WHEELER AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688486 | Jacqueline Taylor Richardson Padua | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-11-15 |
| 1477055234 | Brenda Belledean Taylor | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-03-07 |
| 1609389733 | Kyle Wilhite | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-11-11 |
| 1619496932 | Caroline Nicole Barker | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-09-18 |
| 1962929893 | Amanda Barnes | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-22 |
| 1679098917 | Ava Lee Poindexter | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1093230203 | Taylor Howell | Peer Specialist | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1891210472 | Holli Deanna Reherman | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-04 |
| 1811446099 | Dena Pace | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-09-28 |
| 1447705249 | Casey Hale | Case Management | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114229077 | Cherese F Riggs | Counselor | 204 E. Choctaw, Sallisaw, OK 74955 | 2010-11-29 |
| 1730509274 | Carry Shamblin | Counselor | 204 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2014-04-23 |
| 1447403878 | Christine Marie Eubanks | Counselor | 204 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2008-10-29 |
| 1225233646 | Tammy Broussard | Counselor | 204 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2007-06-16 |
| 1528263944 | Brian Childs | Counselor | 101 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2007-06-16 |
| 1245386788 | Andrea Denice Dudley | Counselor | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1093328346 | Kathryn Glover Bishop | Counselor | 5921 E 97th St, Tulsa, OK 74137-5011 | 2020-08-26 |
| 1528670239 | Grand Lake Therapeutics LLC | Counselor | 1441 Lakeside Dr, Grove, OK 74344-4223 | 2020-08-24 |
| 1164034898 | Heather Jean Miller | Counselor | 1320 E 9th St Ste 8, Edmond, OK 73034-5773 | 2020-08-24 |
| 1225640337 | Michelle Davis Gannaway | Counselor | 13315 N Coltrane Rd, Edmond, OK 73013-8257 | 2020-08-19 |
| 1841801321 | Yolanda Cummings Counseling, Inc. | Counselor | 24900 County Road 1512, Ada, OK 74820-0994 | 2020-08-10 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1396369286 | Advocate for Mental Health Services LLC | Counselor | 1300 Mcgee Dr Ste 103, Norman, OK 73072-5858 | 2020-06-05 |
| 1639791221 | Santa Gladys Velez | Counselor | 1215 Crossroads Blvd Ste 212, Norman, OK 73072-3391 | 2020-05-18 |
| 1801415898 | Powerful Design Consulting, LLC | Counselor | 122 E Woodcraft Rd, Bennington, OK 74723-1833 | 2020-04-10 |
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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.