Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053933994 Individual Practitioner Female Practitioner

Lisa Maria Mellott , LPC

Counselor • Canton, OH

Professional Overview & Biography Verified Profile Summary

Lisa Mellott, LPC is a registered healthcare professional specializing in Counselor in Canton, OH. Practice services are available at 1341 MARKET AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1341 Market Ave N

Canton, OH 447142605

Telephone 3304538252
Fax 3304524655
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
208 Specialists

Practicing in Canton, OH (4163 Statewide)

Telehealth Adoption Rate
0.5% 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: 2021-05-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2103342

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0403443 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joseph Lockett , LICDC

Counselor - Addiction (Substance Use Disorder)

NPI 1003085424
Amy Nelson , CT, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003272220

CT, Chemical Dependency Counselor Assistant

Hillary Whiteman

Counselor - Addiction (Substance Use Disorder)

NPI 1003365933
NPI 1003577057
Stephen Wallace , LPCC

Counselor - Professional

NPI 1023399052

Licensed Professional Clinical Counselor

Jessica Austin , LPN

Licensed Practical Nurse

NPI 1023477130

Licensed Practical Nurse

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated May 20, 2021

Recorded as LISA MELLOTT, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Counselor (License #C.2103342 in OH)

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2020

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

📍
Updated Business Mailing Address May 14, 2020

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

👤
Provider Name / Credentials Updated May 14, 2020

Recorded as LISA MELLOTT, CT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Counselor (License #C2002436TRNE in OH)

🟢
Initial NPI Registration & Enumeration May 14, 2020

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: 1053933994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: May 20, 2021
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

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.