CANDACE JO FELLOWS (LMHC) – Mental Health Counselor, NPI 1457148165

CANDACE JO FELLOWS (LMHC) is a healthcare provider. based in Burlington, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 39005445A (IN). The NPI Number for CANDACE JO FELLOWS (LMHC) is 1457148165

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE JO FELLOWS (LMHC)
NPI
1457148165
Phone
(765) 490-3267
Address
608 E 7TH ST
Enumeration Date
24 April 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654565950
Graduation Year
2022 (4 years ago)
PAC ID
2769991074
Group Practice PAC ID
1153318720
Professional Enrollment ID
I20250529003374
Address ID
IN469015148KO1907XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

893 MENTAL HEALTH COUNSELOR in IN

Provider Addresses for CANDACE JO FELLOWS (LMHC)

  • 608 E 7TH ST

    BURLINGTON, IN 469159441

    Phone: (765) 490-3267

    Type: Mailing

  • 322 N MAIN ST

    KOKOMO, IN 469014622

    Phone: (765) 776-8555

    Type: Location

  • 1907 W SYCAMORE ST

    KOKOMO, IN 469015148

    Phone: (765) 456-5950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250529003374IMental Health CounselorINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153318720View full group profile
NameSpecialtyState
Clinical PsychologistIN
-IN
-IN
Mental Health CounselorIN
P S Y C H I A T R YIN
Psychiatry, NeurologyIN
Clinical Social WorkerIN
P S Y C H I A T R YIN
H E M A T O L O G Y/ O N C O L O G YIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How is CANDACE JO FELLOWS (LMHC) identified in CMS data?
CMS-hosted NPPES data lists CANDACE JO FELLOWS (LMHC) with NPI 1457148165.
Is CANDACE JO FELLOWS (LMHC) still practicing?
CANDACE JO FELLOWS (LMHC) is currently listed as active in the public NPI registry.
What is CANDACE JO FELLOWS (LMHC)'s specialty?
The listing groups CANDACE JO FELLOWS (LMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for CANDACE JO FELLOWS (LMHC)?
CANDACE JO FELLOWS (LMHC)'s geographic hint is Burlington, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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