Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Lillian Tyson, LCPC

Individual provider Counselor · NPI 1164101218

Candice Lillian Tyson, LCPC is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2022, 4 years ago. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1340 Smith Ave Ste 200
Baltimore, MD 21209-3796
Phone: (410) 779-1314
Fax: (410) 779-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC16566 (MD)
Counselor Taxonomy 101Y00000X · Licence LC16566 (MD)

Record details

NPI number1164101218
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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