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LISA MARIA MELLOTT LPC
NPI 1053933994
Counselor in Canton, OH

Active since May 14, 2020
1341 MARKET AVE N, CANTON, OH 44714(330) 453-8252(330) 452-4655 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, May 14, 2020 (2 updates tracked since 2020).

About Lisa Maria Mellott Lpc NPPES

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

LISA MARIA MELLOTT LPC (NPI 1053933994) is an individual counselor in Canton, Ohio, licensed in Ohio (C.2103342) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1053933994
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA MARIA MELLOTTCredential: LPC
Location Address1341 MARKET AVE NCanton, OH 44714-2605
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Phone(330) 453-8252
Fax(330) 452-4655
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1053933994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2103342
Definition
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.
1341 MARKET AVE N, Canton, OH 44714
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Other Identifiers 1

Medicaid0403443OH

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))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
AMY NELSON CT, CDCA
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
HILLARY A WHITEMAN
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
OBIAGERI EBERE NGWAOGU CT
Counselor
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
JESSICA AUSTIN LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
MRS. DYAN MARIE TUCCI LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
DENISE A TRIPP LPC
Counselor (Mental Health)
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
CHELSIE MARIE GRESSER RN
Registered Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mellott's NPI number?

The NPI number for Lisa Mellott is 1053933994. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Lisa Mellott located?

Lisa Mellott practices at 1341 Market Ave N, Canton, OH 44714. The listed phone number is (330) 453-8252.

What is Lisa Mellott's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mellott was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.