CANDACE CHARLEY CLYBURN-GAMBLE LCMHC
NPI 1225815517
Counselor - Mental Health in Charlotte, NC
About Candace Charley Clyburn-gamble Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE CHARLEY CLYBURN-GAMBLE LCMHC (NPI 1225815517) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (19193) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Candace Charley Clyburn-gamble Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Candace Clyburn-gamble reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28212
- Reassigned Medicare billing, North Carolina enrollment
- 260 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clyburn-gamble's NPI number?
The NPI number for Candace Clyburn-gamble is 1225815517. It was assigned to this individual provider in the NPPES registry on September 11, 2023. The provider is also known as Candance Charley Clyburn.
Where is Candace Clyburn-gamble located?
Candace Clyburn-gamble practices at 8853 Festival Way, Charlotte, NC 28215. The listed phone number is (770) 315-0913.
What is Candace Clyburn-gamble's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Candace Clyburn-gamble enrolled in Medicare?
Yes. Candace Clyburn-gamble is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Candace Clyburn-gamble's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Clyburn-gamble reassigns Medicare benefits to Monarch (Charlotte, NC). 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 Clyburn-gamble's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candace Clyburn-gamble accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Candace Clyburn-gamble 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 Clyburn-gamble was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Candace Charley Clyburn-Gamble, LCMHC · NPI 1225815517
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1225815517 (Entity type: Individual)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 19193 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8853 FESTIVAL WAY, Charlotte, NC 28215-3285
- **Phone:** (770) 315-0913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Monarch (NPI 1457662843, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225815517) · Data from the CMS NPPES public registry.