Kandis Hayes Baldwin, LAC
Counselor, Professional in Buckeye, AZ. Individual provider (NPI-1).
NPI number1992643019
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1992643019
- Entity type
- Individual (NPI-1)
- Name
- Kandis Hayes Baldwin
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2026
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 102638 | TX | Yes |
| 101YP2500X | Counselor, Professional | LAC-16595 | AZ |
Practice location
21045 W McDowell Rd Unit 704Buckeye, AZ 85396-2093
Phone 623-522-7655
Mailing address
21045 W McDowell Rd Unit 704Buckeye, AZ 85396-2093
Phone 623-522-7655
Other practice locations
1300 Summit Ave Ste 520
Fort Worth, TX 76102-4419
Fort Worth, TX 76102-4419
Phone 623-522-7655
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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