Individual provider Active NPI

Candace Mailliard, LPC

  • Mental Health Counselor
  • Washington, PA
National Provider Identifier
1497641484
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC018826 Issued in PA
Practice address
1840 Washington Rd
Washington, PA 15301-8933
Phone
(724) 916-0192
NPI assigned
Jun 16, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC018826 PA Primary

Addresses

Primary practice location

1840 Washington Rd
Washington, PA 15301-8933

Mailing address

1840 Washington Rd
Washington, PA 15301-8933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elyse Milliron LCSW Services, LLCGroup PAC ID 4385090265, 3 clinicians

Practice addresses (Care Compare)

1121 Boyce Rd
Suite 800 B
Pittsburgh, PA 15241-3918
Phone (412) 583-8968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018826PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GRC Physician Services LLC PastSince Jun 23, 2025 Accepting new patients
Gateway Rehabilitation Center PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1497641484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018933",
            "telephone_number": "724-916-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLIARD",
        "first_name": "CANDACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC018826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.