CANDICE M SCOVILLE LPC, SAC-IT
NPI 1619629995
Counselor - Mental Health in Waukesha, WI
NPI Status: Active since January 19, 2022
Contact Information
514 RIVERVIEW AVE
WAUKESHA, WI
ZIP 53188
Phone: (262) 548-7666
- Individual
- Female
- Years of Experience 5
- Counselor
- Mental Health
- Accepts Insurance
- Accepts Medicare Approved Payment
About CANDICE SCOVILLE
This page provides the complete NPI Profile along with additional information for Candice Scoville, a provider established in Waukesha, Wisconsin with a medical specialization in Counselor, focusing in mental health and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1619629995 assigned on January 2022. The practitioner's primary taxonomy code is 101YM0800X with license number 10560-125 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1619629995
- Provider Name
- CANDICE M SCOVILLE LPC, SAC-IT
- Other Name
- CANDICE M ZEHNER LPC, SAC-IT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 514 RIVERVIEW AVE WAUKESHA, WI 53188
- Location Phone
- (262) 548-7666
- Mailing Address
- 514 RIVERVIEW AVE WAUKESHA, WI 53188
- Mailing Phone
- (262) 896-8051
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2022
- Last Update Date
- 02-12-2025
- Code Navigator
A mental health counselor like Candice Scoville provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 10560-125
- License State
- WI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 20171-130 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Candice Scoville is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7517317928
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231228000086
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for CANDICE M SCOVILLE LPC, SAC-IT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 1 | 9 | 6 | 2 | 9 | 9 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 2 | 9 | 12 | 2 | 18 | 9 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 2 + 9 + 1 + 2 + 2 + 1 + 8 + 9 + 1 + 8 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1619629995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1396808226 | MR. MARTIN GORDON MILLICHAP MA Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7688 |
1417011156 | REGINA MARIE BAUER CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7673 |
1437213824 | JOAN KUNICKI LCSW Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7678 |
1336299817 | MR. RICHARD R. DETTLAFF BS,CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
1609016252 | ANGELA JEAN SADLER CAPSW Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7849 |
1609166131 | DR. SHAWN JOHNSON PSY.D. Individual | Psychologist (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
1710226691 | DR. BRIDGET ELIZABETH KANZ PSY.D. Individual | Psychologist | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7665 |
1962556605 | JOSE A RUIZ CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
1871819169 | MRS. JENNIFER LYNN WRUCKE LMFT Individual | Marriage & Family Therapist | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
1063836070 | MARIA DEAN BSW Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7338 |
1730243908 | LAURIE ELIZABETH KOHLER MSW, APSW Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7849 |
1760801302 | ANNIE DAVIDSON Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7997 |
1003227091 | MRS. JESSICA GRIMM Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8459 |
1205247285 | MOLLY LUCZAK Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8456 |
1275944076 | MRS. HEATHER RENEE HEARD RN Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8451 |
1487068615 | DAISY TORRES Individual | Technician, Other | 514 RIVERVIEW AVE ATTN: ADMINISTRATIVE SERVICES - FISCAL WAUKESHA, WI 53188 (262) 896-8430 |
1134533821 | BERY PEREZ Individual | Technician, Other | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8430 |
1497161897 | STACY KURKIEWICZ APSW Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7212 |
1346640364 | JULIE KUNATH Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 970-4794 |
1275933285 | LAUREN FRANSON B.A. Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 970-6881 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619629995, enumerated in the NPI registry as an "individual" on January 19, 2022
The provider is located at 514 Riverview Ave Waukesha, Wi 53188 and the phone number is (262) 548-7666
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 19, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.