Individual provider Active NPI

Candace L Toubo, MA, LP, NCC

  • Professional Counselor
  • Sewickley, PA
National Provider Identifier
1902347990
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008373 Issued in PA
Practice address
111 Hazel LN Ste 300
Sewickley, PA 15143-1253
Phone
(412) 749-7330
NPI assigned
Mar 10, 2017
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008373 PA Primary

Addresses

Primary practice location

111 Hazel LN Ste 300
Sewickley, PA 15143-1253

Mailing address

111 Hazel LN Ste 300
Sewickley, PA 15143-1253

Other names 1

  • Candace L Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240111000417 PA Practitioner - Marriage and Family Therapist 5890146161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Wellness Center IncGroup PAC ID 4789076761, 8 clinicians

Practice addresses (Care Compare)

265 3Rd St
FL 2
Beaver, PA 15009-2350
Phone (724) 371-0177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC008373PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center Inc Professional CurrentSince Feb 26, 2025 Accepting new patients
Trotter Therapy Services, LLC PastSince Feb 26, 2025 Accepting new patients

Locations

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

Organizations & group practices 2

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1902347990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN STE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN STE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUBO",
        "first_name": "CANDACE",
        "middle_name": "L",
        "credential": "MA, LP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "HALL",
            "middle_name": "L",
            "credential": "MA, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.