Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Fraser

Individual provider Mental Health Counselor · NPI 1265155642

Candace Fraser is a Mental Health Counselor in Tampa, Florida. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2022

Practice location Address checks out

5707 N 22nd St
Tampa, FL 33610-4350
Phone: (813) 530-5682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH20673 (FL)

Record details

NPI number1265155642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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