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John-Michael A Roberts , LPCC-S

Counselor - Professional β€’ Canton, OH

Active NPI 1861929887 Individual Practitioner Male Practitioner
Practice location in NPPES

625 Cleveland Ave Nw
Canton, OH 447021805

Call 3304550374 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 Cleveland Ave Nw

Canton, OH 447021805

Telephone 3304550374
Fax 3304552101
Organization at the Same NPPES Address or Phone
Commquest Services, Inc. Facility NPI 1730168311

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Massillon, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

312 active clinicians are listed under Counselor - Professional with a practice address in Canton, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

2.9% of these 312 clinicians have the CMS telehealth indicator.

12.8% of these 312 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2001599-SUPV
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0274703 (OH)

Secondary Practice Locations

130 1st St Nw

Massillon, OH 446475452

Phone: 3308330234

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Denise Hecht-Hewit , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366708976

Certified Nurse Practitioner

Dr. Osamuedemen Iyoha , MD

Psychiatry & Neurology - Psychiatry

NPI 1144616079

Doctor of Medicine (M.D.)

Dr. Krishnan Sivaram , MD

Psychiatry & Neurology - Psychiatry

NPI 1144293176

Doctor of Medicine (M.D.)

Douglas Stevens , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013474824

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 24, 2024

Recorded as JOHN-MICHAEL ROBERTS, LPCC-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

Counselor (license number reported to NPPES: OH E.2001599-SUPV)

πŸ‘€
Provider Name / Credentials Updated January 17, 2020

Recorded as JOHN-MICHAEL ROBERTS, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Counselor (license number reported to NPPES: OH E2001599)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2019

Counselor (license number reported to NPPES: OH C1800938)

βœ…
NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 22, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ“
Business Mailing Address (Initial Record) May 22, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials (Initial Record) May 22, 2017

Recorded as JOHN-MICHAEL ROBERTS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Counselor (license number reported to NPPES: OH C1700048TRNE)

🟒
Initial NPI Registration & Enumeration May 22, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861929887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2017
Last Update: January 24, 2024
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.