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Dr. Greg R Emanuelson , PhD, LPCC-S

Counselor - Professional β€’ Massillon, OH

Active NPI 1619178860 Individual Practitioner Male Practitioner
Practice location in NPPES

130 1st St Nw
Massillon, OH 446475452

Call 3308330234 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

130 1st St Nw

Massillon, OH 446475452

Telephone 3308330234
Fax 3308377705
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services, Inc. Facility NPI 1316996507

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

NPI first issued

2007

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 Massillon and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Massillon

8.1% of these 37 clinicians have the CMS telehealth indicator.

18.9% of these 37 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0002768-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
0183807 (OH)

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location December 04, 2018

Registered at 130 1ST ST NW, MASSILLON, OH 446475452 (Tel: 3308330234)

βœ…
NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 28, 2017

Registered at 412 LINCOLN WAY E, MASSILLON, OH 446468404 (Tel: 3308338516)

πŸ“
Updated Business Mailing Address July 28, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: (330) 453-8252)

πŸ‘€
Provider Name / Credentials Updated July 28, 2017

Recorded as GREG EMANUELSON, PHD, LPCC-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Counselor (license number reported to NPPES: OH E.0002768-SUPV)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304559407)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304559407)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as GREG EMANUELSON, PHD, PCC-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: OH E2768)

🟒
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619178860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: September 16, 2019
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.