1. Home
  2. Directory
  3. Missouri
  4. Waynesville
  5. Counselor
  6. NPI Profile

CANDACE D BENNER MA, LPC, CCTP, EMDR
NPI 1467869156
Counselor - Mental Health in Waynesville, MO

Active since July 15, 2014PECOS Enrolled
19871 SACKETT LN, WAYNESVILLE, MO 65583(573) 315-3848(573) 312-3848 Get Directions Write a Review

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

Record update history: Dec 14, 2022, Feb 10, 2020, Oct 29, 2019 and 1 more (4 updates tracked since 2016).

About Candace D Benner Ma, Lpc, Cctp, Emdr NPPES

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

CANDACE D BENNER MA, LPC, CCTP, EMDR (NPI 1467869156) is an individual mental health provider in Waynesville, Missouri, licensed in Missouri (2014034465) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467869156
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDACE D BENNERCredential: MA, LPC, CCTP, EMDR
Location Address19871 SACKETT LNWaynesville, MO 65583-3510
Mailing AddressPo Box 114Roby, MO 65557-0114 · (573) 315-3848 · Fax (573) 312-3848
Phone(573) 315-3848
Fax(573) 312-3848
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2014
Last NPPES UpdateMarch 18, 20244 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1467869156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2014034465
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2014034465 (MO)
19871 SACKETT LN, Waynesville, MO 65583
Open in Google Maps ↗

Other Names 1

Other Name (5)Candee Simcox Catp, Cftp

Other Identifiers 1

Medicaid490021314MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 D Benner Ma, Lpc, Cctp, Emdr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436623758
PECOS Enrollment IDI20260707004519
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 Benner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Petsburgh Therapy Services LLC
Same address
Mental Health
19871 SACKETT LN
Waynesville, MO 65583
  • Reassigned Medicare billing, Missouri enrollment
NPI 1518547918 (573) 315-3848

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 3

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

MRS. JENNIFER D SIMMONS LPC
Counselor (Mental Health)
19871 SACKETT LN
WAYNESVILLE, MO 65583
Pulaski County (573) 528-3168
PETSBURGH THERAPY SERVICES LLC
Counselor (Mental Health)
19871 SACKETT LN
WAYNESVILLE, MO 65583
Pulaski County (573) 315-3848
SUSAN ALEJANDRA THOMPSON CIT
Counselor (Mental Health)
19871 SACKETT LN
WAYNESVILLE, MO 65583
Pulaski County (573) 315-3848

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 Benner's NPI number?

The NPI number for Candace Benner is 1467869156. It was assigned to this individual provider in the NPPES registry on July 15, 2014. The provider is also known as Candee Simcox Catp, Cftp.

Where is Candace Benner located?

Candace Benner practices at 19871 Sackett Ln, Waynesville, MO 65583. The listed phone number is (573) 315-3848.

What is Candace Benner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Candace Benner enrolled in Medicare?

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

Which organization bills Medicare for Candace Benner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Benner reassigns Medicare benefits to Petsburgh Therapy Services LLC (Waynesville, MO). 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 Benner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Benner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Candace Benner 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 Benner was last updated on March 18, 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.