MS. CANDYCE KAY WILSON LPCC-S
NPI 1679675672
Counselor - Professional in Canton, OH

Q: What is Candyce Wilson's NPI number?

The NPI number for Candyce Wilson is 1679675672. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Candyce Wilson'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 Candyce Wilson was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Candyce Kay Wilson Lpcc-s NPPES

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

MS. CANDYCE KAY WILSON LPCC-S (NPI 1679675672) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.0003393-SUPV) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1679675672

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. CANDYCE KAY WILSONCredential: LPCC-S

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 455-2101

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJune 8, 2016

✔ NPI 1679675672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in OH · E.0003393-SUPV✔ Licensed in OH · E0003393

625 CLEVELAND AVE NW, Canton, OH 44702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Ms. Candyce Kay Wilson Lpcc-s 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 ID4183146772

PECOS Enrollment IDI20250324003244

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 20

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

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)