CANDY WALTERS COLE (LPC-S) – Professional Counselor, NPI 1215407416

CANDY WALTERS COLE (LPC-S) is a healthcare provider. based in Diana, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-S. They hold a License No. 62377 (TX). The NPI Number for CANDY WALTERS COLE (LPC-S) is 1215407416

Main info

Female
Sole Proprietor
22 Years Of Experience
Name
CANDY WALTERS COLE (LPC-S)
NPI
1215407416
Phone
(903) 431-6567
Address
2815 YELLOW ROSE RD
Enumeration Date
29 November 2018
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032017727
Graduation Year
2004 (22 years ago)
PAC ID
3476089145
Group Practice PAC ID
2769833078
Professional Enrollment ID
I20241205002034
Address ID
TX757716425LI501XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for CANDY WALTERS COLE (LPC-S)

  • 2815 YELLOW ROSE RD

    DIANA, TX 756402698

    Phone: (903) 431-6567

    Type: Mailing

  • 3118 H G MOSLEY PKWY

    LONGVIEW, TX 756052941

    Phone: (903) 200-1433

    Fax: (903) 405-4047

    Type: Mailing

  • 1107 E MARSHALL AVE

    LONGVIEW, TX 756015602

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Mailing

  • 3118 H G Mosley Pkwy

    Longview, TX 756052941

    Phone: (903) 200-1433

    Fax: (903) 405-4047

    Type: Location

  • 1001 W Fairmont St

    Longview, TX 756043511

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Location

  • 425 N Fredonia St

    Longview, TX 756016464

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    Type: Location

  • 2815 Yellow Rose Rd

    Diana, TX 756402698

    Phone: (903) 431-6567

    Type: Location

  • 201 E LOOP 281

    LONGVIEW, TX 756057911

    Phone: (903) 758-2610

    Fax: (903) 758-7081

    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: 2024-12-05

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
I20241205002034IMental Health CounselorTXTBD

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 75640)

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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: 2769833078View full group profile
NameSpecialtyState
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is the standard ID for CANDY WALTERS COLE (LPC-S) in the U.S.?
In the U.S., CANDY WALTERS COLE (LPC-S) is identified by NPI 1215407416.
Should I treat CANDY WALTERS COLE (LPC-S) as an active provider?
Patients and plans typically see CANDY WALTERS COLE (LPC-S) as active in the national extract.
How should patients interpret CANDY WALTERS COLE (LPC-S)'s specialty?
The extract shows Professional Counselor for CANDY WALTERS COLE (LPC-S). Clinical services aligned with this taxonomy classification.
Which community is linked to CANDY WALTERS COLE (LPC-S)?
CANDY WALTERS COLE (LPC-S) shows a connection to Diana, Texas in registry-derived data.
Can I export CANDY WALTERS COLE (LPC-S)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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