Individual provider Active NPI

Candice M Scoville, LPC, SAC-IT

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1619629995
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10560-125 Issued in WI
Practice address
514 Riverview Ave
Waukesha, WI 53188-3631
Phone
(262) 548-7666
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20171-130 WI
Mental Health Counselor 101YM0800X 10560-125 WI Primary

Addresses

Primary practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Mailing address

514 Riverview Ave
Waukesha, WI 53188-3631
Phone (262) 896-8051

Other names 1

  • Candice M Zehner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20231228000086 WI Practitioner - Mental Health Counselor 7517317928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukesha CountyGroup PAC ID 3971405481, 29 clinicians

Practice addresses (Care Compare)

514 Riverview Ave
Waukesha, WI 53188-3631
Phone (262) 548-8431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20171-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County Current Accepting new patients
Waukesha County CurrentSince Jan 1, 2024 Accepting new patients
Waukesha County CurrentSince Jan 1, 2024 Accepting new patients

Locations

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1619629995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883631",
            "telephone_number": "262-896-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883631",
            "telephone_number": "262-548-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "CANDICE",
        "middle_name": "M",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20171-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10560-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "ZEHNER",
            "middle_name": "M",
            "credential": "LPC, SAC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.