CANDICE GOYKHBERG (LPCC, LICDC) – Professional Counselor, NPI 1619335296

CANDICE GOYKHBERG (LPCC, LICDC) is a healthcare provider. based in Mentor, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LICDC. They hold a License No. 151218 (OH). The NPI Number for CANDICE GOYKHBERG (LPCC, LICDC) is 1619335296

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
CANDICE GOYKHBERG (LPCC, LICDC)
NPI
1619335296
Phone
(440) 701-6170
Address
7519 MENTOR AVE STE 114
Enumeration Date
10 February 2016
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168312500
Graduation Year
2010 (16 years ago)
PAC ID
5294178919
Group Practice PAC ID
0345605267
Professional Enrollment ID
I20240209002503
Address ID
OH441226027BE24400RDXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for CANDICE GOYKHBERG (LPCC, LICDC)

  • Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440605410

    Phone: (440) 701-6170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240209002503IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345605267View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical PsychologistCA

Reviews

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Frequently asked questions

Where can patients find CANDICE GOYKHBERG (LPCC, LICDC)'s NPI?
You can confirm CANDICE GOYKHBERG (LPCC, LICDC) with NPI 1619335296; it appears in the national provider directory.
Is CANDICE GOYKHBERG (LPCC, LICDC) active in the national directory?
CANDICE GOYKHBERG (LPCC, LICDC)'s public NPI profile is in an active state.
What kind of provider is CANDICE GOYKHBERG (LPCC, LICDC)?
The page reflects Professional Counselor for CANDICE GOYKHBERG (LPCC, LICDC). Clinical services aligned with this taxonomy classification.
Where is CANDICE GOYKHBERG (LPCC, LICDC)'s primary listing?
We display Mentor, Ohio because that is what the record indicates for CANDICE GOYKHBERG (LPCC, LICDC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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