Candace Sue Newville, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

295092 Issued in KY

Practice address

1154A Lexington Rd
Georgetown, KY 40324-9330

Phone

(833) 510-4357

NPI assigned

Aug 23, 2022

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Candace Sue Miracle Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Triad Health Systems, Inc.Group PAC ID 4082798699, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triad Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Warsaw, KY
  • NPI 1831311299
  Medicare reassignment Care Compare group
• Brightview LLC

  • Methadone Clinic
  • Nicholasville, KY
  • NPI 1609462472
  NPD (past)
• Brightview, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1659769446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1043939200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154A LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWVILLE",
        "first_name": "CANDACE",
        "middle_name": "SUE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "295092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "MIRACLE",
            "middle_name": "SUE",
            "credential": "LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New CPT & R, Inc. (Commonwealth Physical Therapy and Rehabilitation- Georgetown)
• New Lexington Clinic, PSC (Georgetown Optometric Center)
• New Life Solutions
• New Vista of the Bluegrass Inc
• Justin Newsome, MSN, APRN, FNP-BC
• Next Step Behavioral Health LLC
• Tabitha Ashley Nichols
• Anita Michelle Nolen, OT
• North Lexington Urgent Treatment Associates, PSC (Urgent Treatment Clinics)
• Nra-Georgetown, Kentucky, LLC (Georgetown Dialysis Clinic)

• Professional Counselor in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.