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Mari Lyn , LPCC

Counselor - Professional β€’ Canton, OH

Active NPI 1962848804 Individual Practitioner Female Practitioner
Practice location in NPPES

1711 Spring Ave Ne
Canton, OH 447142349

Call 3304546800 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

1711 Spring Ave Ne

Canton, OH 447142349

Telephone 3304546800
Fax 3305887176
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services Facility NPI 1710936901

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

2013

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: 2021-07-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.1300345
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
0181586 (OH)

Secondary Practice Locations

1680 Nave Rd Se

Massillon, OH 446469604

Phone: 3308308740

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 26, 2021

Registered at 1711 SPRING AVE NE, CANTON, OH 447142349 (Tel: 3304546800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2021

Counselor (license number reported to NPPES: OH E.1300345)

βœ…
NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2016

Registered at 1341 MARKET AVE N, CANTON, OH 447142349 (Tel: 3304538252)

πŸ“
Business Mailing Address (Initial Record) October 14, 2016

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

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2016

Recorded as MARI LYN, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Counselor (license number reported to NPPES: OH ICDC.141176)

🟒
Initial NPI Registration & Enumeration May 20, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962848804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2013
Last Update: July 26, 2021
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.