Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457344079 Individual Practitioner Female Practitioner

Dr. Mary Kathleen Prospero , PhD

Psychologist - Counseling • Canton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mary Prospero, PhD is a registered healthcare professional specializing in Psychologist - Counseling in Canton, OH. Practice services are available at 4450 BELDEN VILLAGE ST NW under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4450 Belden Village St Nw
Suite 202

Canton, OH 447182596

Telephone 3304928494
Fax 3304928294
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Canton, OH (219 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
194 21 $130.00 $84.38

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License OH OH4438

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0215378 (OH)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Nathan Stephens , PsyD

Psychologist - Clinical

NPI 1154592608

Doctor of Psychology (Psy.D.)

Danielle Horning

Case Manager/Care Coordinator

NPI 1366206807
Natalie Malloy , LPCC, LICDC

Counselor - Mental Health

NPI 1417237652

Licensed Professional Clinical Counselor, LICDC

Brenda Holland , PCC

Counselor - Mental Health

NPI 1699793091
Jennifer Mizicko , PCC, LSW

Counselor - Mental Health

NPI 1710126438

PCC, Licensed Social Worker

Margot Kessler

Counselor - Professional

NPI 1710166566

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2011

Registered at 4450 BELDEN VILLAGE ST NW, SUITE 202, CANTON, OH 447182596 (Tel: 3304928494)

📍
Updated Business Mailing Address March 01, 2011

Registered at 4450 BELDEN VILLAGE ST NW, SUITE 202, CANTON, OH 447182596 (Tel: 3304928494)

👤
Provider Name / Credentials Updated March 01, 2011

Recorded as MARY PROSPERO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2011

Psychologist (License #OH4438 in OH)

🟢
Initial NPI Registration & Enumeration August 30, 2005

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: 1457344079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: March 01, 2011
Sole Proprietor: Yes

Mailing Address

4450 Belden Village St Nw, Suite 202

Canton, OH 447182596

Phone: 3304928494

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.