Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124440607 Individual Practitioner Female Practitioner

Jade T Fishburn

Counselor • Canton, OH

Professional Overview & Biography Verified Profile Summary

Jade Fishburn is a registered healthcare professional specializing in Counselor in Canton, OH. Practice services are available at 624 MARKET AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

624 Market Ave N

Canton, OH 447021017

Telephone 3304934553
Fax 3304933761
Associated Practice Facility / Clinic
🏢 Trillium Family Solutions Inc Facility NPI 1629034830

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: 2024-12-09
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C2406388

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LCDCII.161524

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003552464
Laura Elliott-Heckaman , BA

Case Manager/Care Coordinator

NPI 1013420082

Bachelor of Arts

Deborah Vaughan , LPC

Counselor - Mental Health

NPI 1043840226

Licensed Professional Counselor

Terri Hudson

Social Worker

NPI 1053183574
NPI 1053766618
Hollie Pena

Case Manager/Care Coordinator

NPI 1053891515

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 09, 2024

Registered at 624 MARKET AVE N, CANTON, OH 447021017 (Tel: 3304934553)

📍
Updated Business Mailing Address December 09, 2024

Registered at 624 MARKET AVE N, CANTON, OH 447021017 (Tel: 3304934553)

👤
Provider Name / Credentials Updated December 09, 2024

Recorded as JADE FISHBURN

📍
Updated Practice Location January 05, 2022

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308308740)

📍
Updated Business Mailing Address January 05, 2022

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

👤
Provider Name / Credentials Updated January 05, 2022

Recorded as JADE FISHBURN, B.A., LCDC II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2022

Counselor (License #LCDCII.161524 in OH)

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2014

Registered at 811 FAIRCREST STREET SW, CANTON, OH 44706 (Tel: 3306394408)

📍
Updated Business Mailing Address January 17, 2014

Registered at 811 FAIRCREST STREET SW, BRIGHT HOUSE, CANTON, OH 44706 (Tel: 3306394408)

👤
Provider Name / Credentials Updated January 17, 2014

Recorded as JADE FISHBURN, B.A., CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Counselor (License #13498 in OH)

🟢
Initial NPI Registration & Enumeration January 17, 2014

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: 1124440607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2014
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

624 Market Ave N

Canton, OH 447021017

Phone: 3304934553

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.