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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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 16 days 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
- **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.