Nina Marie Kucyk, PSY.D, PCC-S, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3276-SVPR Issued in OH

Practice address

2401 Whipple Ave NW
Canton, OH 44708-1513

Phone

(330) 956-5681

Fax

(330) 956-5682

NPI assigned

Jul 12, 2006

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Nina Kucyk, PSYD

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1609677236
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1639104128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081513",
            "telephone_number": "330-956-5691",
            "fax_number": "330-956-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081513",
            "telephone_number": "330-956-5681",
            "fax_number": "330-956-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCYK",
        "first_name": "NINA",
        "middle_name": "MARIE",
        "credential": "PSY.D,  PCC-S, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3276-SVPR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000476946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molley Krstich, CT
• Lisa Anne Krumm, CRNA
• Thomas M Krupar, PT
• James Krupko, DPT
• Jennifer Krusemark-Millin, DO
• Carol Kuczynski, RN
• Paige Kuder, SWT
• Miran W. Kuendig, PH.D.
• Richard C. Kuendig, PSY.D.
• Janeen Kuffler

• Professional Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.