NINA MARIE KUCYK PSY.D, PCC-S, NCC
NPI 1639104128
Counselor - Professional in Canton, OH

Q: What is Nina Kucyk's NPI number?

The NPI number for Nina Kucyk is 1639104128. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Nina Kucyk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nina Kucyk was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

2401 WHIPPLE AVE NW, CANTON, OH 44708(330) 956-5681(330) 956-5682 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nina Marie Kucyk Psy.d, Pcc-s, Ncc NPPES

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

NINA MARIE KUCYK PSY.D, PCC-S, NCC (NPI 1639104128) is an individual professional provider in Canton, Ohio, licensed in Ohio (E3276-SVPR) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639104128

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNINA MARIE KUCYKCredential: PSY.D, PCC-S, NCC

Location Address2401 WHIPPLE AVE NWCanton, OH 44708-1513

Mailing Address2401 Whipple Ave NwCanton, OH 44708-1513 · (330) 956-5691 · Fax (330) 956-5682

Phone(330) 956-5681

Fax(330) 956-5682

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 12, 2006

Last NPPES UpdateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1639104128 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 OH · E3276-SVPR

2401 WHIPPLE AVE NW, Canton, OH 44708

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Other Identifiers 1

Other000000476946OH · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, SummaCare.Insurance ›

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

Nina Marie Kucyk Psy.d, Pcc-s, Ncc 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.

PECOS PAC ID8123479987

PECOS Enrollment IDI20240319003832

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.

Other Providers at the Same Location NPPES 9

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

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