AMY NELSON CT, CDCA
NPI 1003272220
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Q: What is Amy Nelson's NPI number?

The NPI number for Amy Nelson is 1003272220. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Q: What is Amy Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Amy Nelson was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2016PECOS Enrolled

1341 MARKET AVE N, CANTON, OH 44714(330) 453-8252 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Amy Nelson Ct, Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY NELSON CT, CDCA (NPI 1003272220) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (1500414) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003272220

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameAMY NELSONCredential: CT, CDCA

Location Address1341 MARKET AVE NCanton, OH 44714-2605

Mailing Address1341 Market Ave NCanton, OH 44714-2605 · (330) 453-8252

Phone(330) 453-8252

Sole ProprietorNo

Enumeration DateJanuary 4, 2016

✔ NPI 1003272220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in OH · 1500414✔ Licensed in OH · 130223

1341 MARKET AVE N, Canton, OH 44714

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Other Identifiers 1

Medicaid2901131OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Nelson Ct, Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH N LOCKETT LICDC

Counselor (Addiction (Substance Use Disorder))