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KANDYCE IVORY WILSON
NPI 1902496342
Peer Specialist in Rocky River, OH

Active since January 20, 2021
1692 LAKEVIEW AVE, ROCKY RIVER, OH 44116(216) 760-3563 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kandyce Ivory Wilson NPPES

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

KANDYCE IVORY WILSON (NPI 1902496342) is an individual peer specialist in Rocky River, Ohio and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1902496342
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKANDYCE IVORY WILSON
Location Address1692 LAKEVIEW AVERocky River, OH 44116-2443
Mailing Address1692 Lakeview AveRocky River, OH 44116-2443 · (216) 760-3563
Phone(216) 760-3563
Sole ProprietorYes
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1902496342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1692 LAKEVIEW AVE, Rocky River, OH 44116
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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 Kandyce Wilson's NPI number?

The NPI number for Kandyce Wilson is 1902496342. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Kandyce Wilson located?

Kandyce Wilson practices at 1692 Lakeview Ave, Rocky River, OH 44116. The listed phone number is (216) 760-3563.

What is Kandyce Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kandyce Wilson was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.