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CANDACE SUE NEWVILLE LPCC
NPI 1043939200
Counselor - Professional in Georgetown, KY

Active since August 23, 2022PECOS Enrolled
1154A LEXINGTON RD, GEORGETOWN, KY 40324(833) 510-4357 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2024, Sep 30, 2024, Aug 23, 2022 (3 updates tracked since 2022).

About Candace Sue Newville Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE SUE NEWVILLE LPCC (NPI 1043939200) is an individual professional provider in Georgetown, Kentucky, licensed in Kentucky (295092) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043939200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCANDACE SUE NEWVILLECredential: LPCC
Location Address1154A LEXINGTON RDGeorgetown, KY 40324-9330
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Phone(833) 510-4357
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2022
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1043939200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 295092
1154A LEXINGTON RD, Georgetown, KY 40324
Open in Google Maps ↗

Other Names 1

Former Name (1)Candace Sue Miracle Lpca

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Sue Newville Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274017991
PECOS Enrollment IDI20260320001404
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Candace Newville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Triad Health Systems Inc.
45 mi
Federally Qualified Health Center (FQHC)
329 FLOYD DR
Carrollton, KY 41008
  • Reassigned Medicare billing, Kentucky enrollment
  • 26 clinicians in this Medicare group
NPI 1104248962 (502) 732-1082

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUS A BYNUM M.D.
Family Medicine
1154A LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (502) 868-0008
JOANN CARROLL APRN
Nurse Practitioner (Family)
1154A LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (833) 510-4357
ADAM DWIGHT CULBERTSON APRN
Nurse Practitioner (Family)
1154A LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (513) 834-7063
ANGELA WHITAKER MSSW, LCSW
Social Worker (Clinical)
1154A LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (502) 383-4828
LOGAN ALEXANDER PROFIT PMHNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
1154A LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (833) 510-3278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Newville's NPI number?

The NPI number for Candace Newville is 1043939200. It was assigned to this individual provider in the NPPES registry on August 23, 2022. The provider is also known as Candace Sue Miracle Lpca.

Where is Candace Newville located?

Candace Newville practices at 1154A Lexington Rd, Georgetown, KY 40324. The listed phone number is (833) 510-4357.

What is Candace Newville's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Candace Newville enrolled in Medicare?

Yes. Candace Newville is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Candace Newville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Newville reassigns Medicare benefits to Triad Health Systems Inc. (Carrollton, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Newville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Newville accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Candace Newville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candace Newville was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.