Active NPI 1891082566 Individual Practitioner Female Practitioner

Mary Ellen Roth , LPCC-S

Counselor - Professional • Chardon, OH

Professional Overview & Biography Verified Profile Summary

Mary Roth, LPCC-S is a registered healthcare professional specializing in Counselor - Professional in Chardon, OH. Practice services are available at 695 SOUTH STREET, #6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

695 South Street, #6

Chardon, OH 44024

Telephone 4402861553

Fax 4402861318

Associated Practice Facility / Clinic

🏢 Family Pride Of Northeast Ohio Incorporated Facility NPI 1427013556

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chardon, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.8 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

37 Specialists

Practicing in Chardon, OH (6923 Statewide)

Telehealth Adoption Rate

2.7% 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: 2026-03-10

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0007784-SUPV

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Britnie Wellbaum

Case Management

NPI 1063379402

Cyndi Larned

Case Manager/Care Coordinator

NPI 1063987790

Jessica Brewster , LPC

Counselor - Mental Health

NPI 1073065413

Licensed Professional Counselor

Allison Loeb-Munson

Counselor - Mental Health

NPI 1104183920

Rebecca Petrey

Social Worker - Clinical

NPI 1124510664

Miranda Millner

Counselor

NPI 1124959226

Career & Practice History Timeline

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

8 Historical Events

👤

Provider Name / Credentials Updated March 10, 2026

Recorded as MARY ROTH, LPCC-S

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Counselor (License #E.0007784-SUPV in OH)

✅

NPI Profile Active July 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2011

Registered at 695 SOUTH STREET, #6, CHARDON, OH 44024 (Tel: 4402861553)

📍

Updated Business Mailing Address July 01, 2011

Registered at 695 SOUTH STREET, #6, CHARDON, OH 44024 (Tel: 4402861553)

👤

Provider Name / Credentials Updated July 01, 2011

Recorded as MARY ROTH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2011

Counselor (License #E0007784 in OH)

🟢

Initial NPI Registration & Enumeration July 01, 2011

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: 1891082566

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2011

Last Update: March 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

695 South Street, #6

Chardon, OH 44024

Phone: 4402861553

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.