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Active NPI 1790888576 Individual Practitioner Male Practitioner

Norman Diveley , LPCC

Counselor - Professional • Canton, OH

Professional Overview & Biography Verified Profile Summary

Norman Diveley, LPCC is a registered healthcare professional specializing in Counselor - Professional in Canton, OH. Practice services are available at 919 2ND ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

919 2nd St Ne

Canton, OH 447041132

Telephone 3304547917
Associated Practice Facility / Clinic
🏢 Margaret B Shaley Child Health Clinic Inc Facility NPI 1215021126

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
316 Specialists

Practicing in Canton, OH (6923 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E0004178

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0323346 (OH)

Secondary Practice Locations

4641 Fulton Dr Nw

Canton, OH 447182384

Phone: 3304336075

3445 S Main St

Coventry Township, OH 443193028

Phone: 3306444095

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Victoria Thompson

Case Manager/Care Coordinator

NPI 1023783990
Rosetta Ballard

Case Manager/Care Coordinator

NPI 1033694831
Jacqueline Kienzle

Case Manager/Care Coordinator

NPI 1033763107
Hsiao Peng

Social Worker

NPI 1053725010
Dionna Stokes-Ellis

Case Manager/Care Coordinator

NPI 1053862151
Micaela Michalk

Case Manager/Care Coordinator

NPI 1063116390

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 919 2ND ST NE, CANTON, OH 447041132 (Tel: 3304547917)

📍
Updated Business Mailing Address October 09, 2025

Registered at 4641 FULTON DR NW, CANTON, OH 447182384 (Tel: 3304336075)

📍
Updated Practice Location November 05, 2018

Registered at 3445 S MAIN ST, COVENTRY TOWNSHIP, OH 443193028 (Tel: 3306444095)

📍
Updated Business Mailing Address November 05, 2018

Registered at 3445 S MAIN ST, COVENTRY TOWNSHIP, OH 443193028 (Tel: 3306444095)

👤
Provider Name / Credentials Updated November 05, 2018

Recorded as NORMAN DIVELEY, LPCC

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 919 2ND ST NE, CANTON, OH 447041132 (Tel: 3304547917)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2385 URBANA AVE SE, MASSILLON, OH 446467483 (Tel: 3308370647)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NORM DIVELEY

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

Counselor

🟢
Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790888576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: October 09, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4641 Fulton Dr Nw

Canton, OH 447182384

Phone: 3304336075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.