KATRINA M CANADY (NCC,LPC,CPCS) – Mental Health Counselor, NPI 1235570821

KATRINA M CANADY (NCC,LPC,CPCS) is a healthcare provider. based in El paso, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials NCC,LPC,CPCS. They hold a License No. 012345 (GA). The NPI Number for KATRINA M CANADY (NCC,LPC,CPCS) is 1235570821

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KATRINA M CANADY (NCC,LPC,CPCS)
NPI
1235570821
Phone
(915) 742-2273
Address
5005 N Piedras STREET
Enumeration Date
11 July 2013
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
2009 (17 years ago)
PAC ID
8224572664
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20240708000102
Address ID
GA300764899RO300XXPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:12State licenses:5Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for KATRINA M CANADY (NCC,LPC,CPCS)

  • 5005 N Piedras STREET

    El Paso, TX 79920

    Phone: (915) 742-2273

    Type: Location

  • F TAB 333RD UNIT 15419

    APO, AP 96224

    Phone: (910) 920-3326

    Type: Mailing

  • 5005 N PIEDRAS STREET

    EL PASO, TX 79920

    Phone: (915) 742-2273

    Type: Location

  • 1061 HARMON AVE

    FORT STEWART, GA 313145641

    Phone: (912) 456-6965

    Type: Location

  • 345 WEST MEMORIAL DRIVE

    HINESVILLE, GA 31313

    Phone: (912) 456-2002

    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: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240708000102IMental Health CounselorGATBD
I20241204001900IMental Health CounselorNCTBD

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 79920)

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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: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Is there an official ID for KATRINA M CANADY (NCC,LPC,CPCS) in U.S. healthcare records?
The official identifier for KATRINA M CANADY (NCC,LPC,CPCS) is NPI 1235570821.
Is there an active status for KATRINA M CANADY (NCC,LPC,CPCS)?
For scheduling context, KATRINA M CANADY (NCC,LPC,CPCS) is shown as active in the registry.
What area of care is associated with KATRINA M CANADY (NCC,LPC,CPCS)?
KATRINA M CANADY (NCC,LPC,CPCS)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KATRINA M CANADY (NCC,LPC,CPCS) associated with El Paso?
Public fields place KATRINA M CANADY (NCC,LPC,CPCS) around El Paso, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.