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CANDACE CROSS LCSW
NPI 1255753422
Social Worker - Clinical in Lexington, KY

Active since January 07, 2014PECOS Enrolled
3406 HOLWYN RD, LEXINGTON, KY 40503(859) 305-9466 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Aug 30, 2018, Jul 14, 2016 (3 updates tracked since 2016).

About Candace Cross Lcsw NPPES

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

CANDACE CROSS LCSW (NPI 1255753422) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (253160) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255753422
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCANDACE CROSSCredential: LCSW
Location Address3406 HOLWYN RDLexington, KY 40503-3508
Mailing Address3406 Holwyn RdLexington, KY 40503-3508 · (859) 536-4864
Phone(859) 305-9466
Sole ProprietorNo
Enumeration DateJanuary 7, 2014
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1255753422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 253160✔ Licensed in KY · CSW 6710
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3406 HOLWYN RD, Lexington, KY 40503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 137 E Main StParis, KY 40361-2007 · Phone (859) 340-4264 · Fax (859) 972-0899
Location 2Kentucky Counseling Center, LLC, 1353 West Main Street , KentuckyLexington, KY 40508 · Phone (855) 591-0092

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Cross Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Candace Cross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Candace Cross Counseling LLC
1.6 mi
Clinical
3070 LAKECREST CIR STE 400156
Lexington, KY 40513
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1235886268 (859) 305-9466
Kentucky Counseling Center, LLC
66 mi
Counselor
1169 EASTERN PKWY STE 3328
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 201 clinicians in this Medicare group
NPI 1932590338 (855) 591-0092

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cross's NPI number?

The NPI number for Candace Cross is 1255753422. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Candace Cross located?

Candace Cross practices at 3406 Holwyn Rd, Lexington, KY 40503. The listed phone number is (859) 305-9466.

What is Candace Cross's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Candace Cross enrolled in Medicare?

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

Which organizations bill Medicare for Candace Cross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Cross reassigns Medicare benefits to 2 organizations: Candace Cross Counseling LLC (Lexington, KY) and Kentucky Counseling Center, LLC (Louisville, KY). Each 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 Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Cross accept?

Health plans from Anthem Blue Cross and Blue Shield list Candace Cross 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 Cross was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.