Marisa Wallace , LPC
Counselor - Professional β’ Mentor, OH
7232 Justin Way
Mentor, OH 440604881
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
7232 Justin Way
Mentor, OH 440604881
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Euclid, 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.
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Mentor and Ohio
54 active clinicians are listed under Counselor - Professional with a practice address in Mentor, OH (6,790 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mentor
7.4% of these 54 clinicians have the CMS telehealth indicator.
14.8% of these 54 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: 2022-02-17NUCC Taxonomy Code: 101YP2500X
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Locations
23780 Farringdon Ave
Euclid, OH 441231537
Phone: 2162401111
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Addiction Medicine
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner (Board Certified), Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)
Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)
Registered at 23780 FARRINGDON AVE, EUCLID, OH 441231537 (Tel: 2162401111)
Registered at 23780 FARRINGDON AVE, EUCLID, OH 441231537 (Tel: 2162401111)
Recorded as MARISA WALLACE, LPC
NPI status registered as active in NPPES database
Registered at 22639 EUCLID AVE, EUCLID, OH 441171622 (Tel: 2164041900)
Registered at 22639 EUCLID AVE, EUCLID, OH 441171622 (Tel: 2164041900)
Recorded as MARISA WALLACE, CT
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
7232 Justin Way
Mentor, OH 440604881
Phone: 4405788200