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Deactivated NPI 1093519860 Deactivated / Inactive NPI

Melanie Maynard , CT

Counselor • Canton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Melanie Maynard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2025
NPI Deactivation Date July 14, 2026
Total Practice Duration ~1 Years of Practice (2025 – 2026)

Professional Overview & Biography Verified Profile Summary

Melanie Maynard, CT was a registered Counselor practicing in Canton, OH. Throughout an active medical career spanning 1 years, Melanie Maynard provided care at the practice location at 4522 FULTON DR NW until profile deactivation on 2026-07-14.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Fax 3309152958
Associated Practice Facility / Clinic
🏢 Wellness Grove, Llc Facility NPI 1043899859

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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alexis Gibbs , LPC

Counselor - Professional

NPI 1003623331

Licensed Professional Counselor

NPI 1013403211

Licensed Professional Counselor

NPI 1013725589
NPI 1023654852

Licensed Social Worker

Ashley Kaminski , LPC

Counselor - Professional

NPI 1023799749

Licensed Professional Counselor

NPI 1023845807

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 14, 2026

Record deactivated on July 14, 2026

NPI Profile Active April 02, 2025

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2025

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

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Updated Business Mailing Address April 02, 2025

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

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Provider Name / Credentials Updated April 02, 2025

Recorded as MELANIE MAYNARD, CT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2025

Counselor

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Initial NPI Registration & Enumeration April 02, 2025

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: 1093519860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2025
Last Update: April 02, 2025
Deactivation Date: July 14, 2026

Mailing Address

4522 Fulton Dr Nw

Canton, OH 447182332

Phone: 3309152907

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.