Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Taylor James Watson , LPC

Counselor - Professional β€’ Canton, OH

Active NPI 1871098152 Individual Practitioner Male Practitioner
Practice location in NPPES

4522 Fulton Dr Nw
Canton, OH 447182332

Call 3309152907 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

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Fax 3309152958
Organization at the Same NPPES Address or Phone
Wellness Grove, Llc Facility NPI 1043899859

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 Canton, 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

2018

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: 2025-01-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2305623
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
0013355 (OH)

Secondary Practice Locations

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

Clinicians Sharing This Practice Address or Phone

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

5 listed
Gina Bowers , LISW-S

Social Worker - Clinical

NPI 1942750666

LISWS

Pamela Ebert , LPCC-S

Counselor - Mental Health

NPI 1467711580

LPCCS

Kellie King Feciuch , LPCC-S

Counselor - Mental Health

NPI 1609148824

LPCCS

Madeline Skemp , LPCC-S

Counselor - Mental Health

NPI 1427509900

LPCCS

Paige Wallace , LPCC-S, CCATP

Counselor - Mental Health

NPI 1376157115

LPCCS, CCATP

Career & Practice History Timeline

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

23 Historical Events
πŸ“
Updated Practice Location January 29, 2025

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ“
Updated Business Mailing Address January 29, 2025

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ‘€
Provider Name / Credentials Updated January 29, 2025

Recorded as TAYLOR WATSON, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Counselor (license number reported to NPPES: OH C.2305623)

πŸ“
Updated Practice Location March 08, 2023

Registered at 434 EASTLAND RD, BEREA, OH 440171217 (Tel: 4402342006)

πŸ“
Updated Business Mailing Address March 08, 2023

Registered at 434 EASTLAND RD, BEREA, OH 440171217 (Tel: 4402342006)

πŸ‘€
Provider Name / Credentials Updated March 08, 2023

Recorded as TAYLOR WATSON, CT, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Counselor (license number reported to NPPES: OH C.2304676)

πŸ“
Updated Practice Location November 21, 2022

Registered at 2115 W PARK DR, LORAIN, OH 440531138 (Tel: 4409894900)

πŸ“
Updated Business Mailing Address November 21, 2022

Registered at 2115 W PARK DR, LORAIN, OH 440531138 (Tel: 4409894900)

πŸ‘€
Provider Name / Credentials Updated November 21, 2022

Recorded as TAYLOR WATSON, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2019

Case Manager/Care Coordinator

πŸ“
Updated Practice Location January 30, 2019

Registered at 3100 E 45TH ST STE 438, CLEVELAND, OH 441271095 (Tel: 2162131862)

πŸ“
Updated Business Mailing Address January 30, 2019

Registered at 4057 KELLER HANNA DR, BRUNSWICK, OH 442122724

πŸ‘€
Provider Name / Credentials Updated January 30, 2019

Recorded as TAYLOR WATSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Case Manager/Care Coordinator

βœ…
NPI Profile Active March 28, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2018

Registered at 13422 KINSMAN RD, CLEVELAND, OH 441204410 (Tel: 2162834400)

πŸ“
Business Mailing Address (Initial Record) March 28, 2018

Registered at 13932 OAKBROOK DR, NORTH ROYALTON, OH 441334614

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2018

Recorded as TAYLOR WATSON, QMHS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2018

Social Worker

🟒
Initial NPI Registration & Enumeration March 28, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1871098152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2018
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

4522 Fulton Dr Nw

Canton, OH 447182332

Phone: 3309152907

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.