CANDY DEDEAUX LPC
NPI 1790903201
Counselor - Mental Health in Gulfport, MS

Active since April 22, 2007PECOS EnrolledAccepts Medicare Assignment
11975 SEAWAY RD, GULFPORT, MS 39503(228) 863-4992 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candy Dedeaux Lpc NPPES

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

CANDY DEDEAUX LPC (NPI 1790903201) is an individual mental health provider in Gulfport, Mississippi and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1790903201
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDY DEDEAUXCredential: LPC
Location Address11975 SEAWAY RDGulfport, MS 39503
Mailing Address1465 Lakeland DrJackson, MS 39216-4719 · (605) 415-8835
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 22, 2007
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1790903201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11975 SEAWAY RD, Gulfport, MS 39503

Other Names 1

Former Name (1)Candy Rafal Lpc

Secondary Practice Locations 2

Location 11641 Popps Ferry Rd Ste A3Biloxi, MS 39532-2226 · Phone (662) 234-7601
Location 2201 W Springdale AveKnoxville, TN 37917-5158 · Phone (865) 637-9711 · Fax (865) 541-6942

Accepted 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

Candy Dedeaux Lpc 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 ID7214389212
PECOS Enrollment IDI20240116000439
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

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

Physical Therapist
11975 SEAWAY RD, SUITE A226
GULFPORT, MS 39503

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 Candy Dedeaux's NPI number?

The NPI number for Candy Dedeaux is 1790903201. It was assigned to this individual provider in the NPPES registry on April 22, 2007. The provider is also known as Candy Rafal Lpc.

Where is Candy Dedeaux located?

Candy Dedeaux practices at 11975 Seaway Rd, Gulfport, MS 39503. The listed phone number is (228) 863-4992.

What is Candy Dedeaux's specialty?

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

Is Candy Dedeaux enrolled in Medicare?

Yes. Candy Dedeaux 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.

What insurance does Candy Dedeaux accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Candy Dedeaux 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 Candy Dedeaux was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.