Candice Lillian Tyson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC16566 Issued in MD

Practice address

1340 Smith Ave Ste 200
Baltimore, MD 21209-3796

Phone

(410) 779-1314

Fax

(410) 779-1336

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Quince Orchard Psychotherapy LLC

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1336670389

  DC, Mental Health

  Medicare reassignment NPD
• Transitional Care Services Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1124798178
  NPD
• Oasis the Mental Health Center, LLC

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057
  NPD (past)
• Quince Orchard Psychotherapy LLC

  • Clinical Social Worker
  • Nottingham, MD
  • NPI 1619895844

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1164101218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SMITH AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093796",
            "telephone_number": "410-779-1314",
            "fax_number": "410-779-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SMITH AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093796",
            "telephone_number": "410-779-1314",
            "fax_number": "410-779-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "CANDICE",
        "middle_name": "LILLIAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC16566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Tynes
• Chaunetta Cecilia Tyree
• Philecia Tyrell
• Jaimee Tyson-McOmie, CCC-SLP
• Alexis Christina Tyson
• Darrin Tyson
• Kathleen Michelle Tyson, M.D.
• Latoya Tyson
• Patricia Noel Tyson, MD
• Rickiara Tyson, CPT

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.