CANDACE PEARSON (MS, LCPC) – Counselor, NPI 1700237757

CANDACE PEARSON (MS, LCPC) is a healthcare provider. based in Dayton, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LCPC. They hold a License No. LC10520 (MD). The NPI Number for CANDACE PEARSON (MS, LCPC) is 1700237757

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE PEARSON (MS, LCPC)
NPI
1700237757
Phone
Not provided
Address
2555 S DIXIE DR
Enumeration Date
30 June 2016
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015790089
Graduation Year
2017 (9 years ago)
PAC ID
7719427160
Group Practice PAC ID
6103294939
Professional Enrollment ID
I20240911004116
Address ID
MD208506371RO9420XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for CANDACE PEARSON (MS, LCPC)

  • 2555 S DIXIE DR

    SUITE 260

    DAYTON, OH 454091539

    Phone:

    Type: Mailing

  • 9420 KEY WEST AVE STE 430

    ROCKVILLE, MD 208506371

    Phone: (301) 579-0089

    Fax: (240) 623-9858

    Type: Mailing

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: 2024-09-11

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
I20240911004116IMental Health CounselorDCTBD

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 45409)

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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: 6103294939View full group profile
NameSpecialtyState
Mental Health CounselorMD
Mental Health CounselorMD
Marriage And Family TherapistMN
Clinical Social WorkerMD
Clinical Social WorkerMD
Clinical PsychologistWA

Reviews

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Frequently asked questions

Does CANDACE PEARSON (MS, LCPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CANDACE PEARSON (MS, LCPC) uses 1700237757.
Can I rely on CANDACE PEARSON (MS, LCPC) being an active provider?
As of the registry snapshot, CANDACE PEARSON (MS, LCPC) is marked active.
What is CANDACE PEARSON (MS, LCPC)'s primary classification?
Counselor is the headline specialty for CANDACE PEARSON (MS, LCPC) here. Clinical services aligned with this taxonomy classification.
Does CANDACE PEARSON (MS, LCPC) list a practice location?
Patients near Dayton, Ohio may find CANDACE PEARSON (MS, LCPC) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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