WELLNESS GROVE LLC
NPI 1124865654
Clinic/Center - Mental Health (Including Community Mental Health Center) in Canton, OH
NPI Status: Active since July 11, 2024
Contact Information
4522 FULTON DR NW
CANTON, OH
ZIP 44718
Phone: (330) 915-2907
Fax: (330) 915-2958
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
About WELLNESS GROVE LLC
This page provides the complete NPI Profile along with additional information for Wellness Grove Llc, a provider established in Canton, Ohio operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1124865654 assigned on July 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated March 2025. Wellness Grove Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1124865654
- Provider Legal Name
- WELLNESS GROVE LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4522 FULTON DR NW CANTON, OH 44718
- Location Phone
- (330) 915-2907
- Location Fax
- (330) 915-2958
- Mailing Address
- 4522 FULTON DR NW CANTON, OH 44718
- Mailing Phone
- (330) 915-2907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2024
- Last Update Date
- 03-28-2025
- Code Navigator
Location Map
Secondary Locations
- 4200 Munson St NW Ste A
Canton, OH 44718
(330) 915-2907
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 5 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 6 | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | |
| 7 | 251S00000X | Agencies | Community/Behavioral Health | |
| 8 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 12 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0085951 | MEDICAID (05) | OH |
Reviews for WELLNESS GROVE LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 8 | 6 | 5 | 6 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 16 | 6 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 6 + 6 + 1 + 0 + 6 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1124865654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BRENDAN ROWE CT
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
KATHERINE KIRKHOLDER
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
SHANAE M MOSS
Social Worker
4522 FULTON DR NW
CANTON, OH
ZIP 44718
JEREMY ALAN GUESS
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
HOLLY KELLER
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
CIERRA WHEELER
Social Worker
4522 FULTON DR NW
CANTON, OH
ZIP 44718
JOSEPH KURY II
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
BENJAMIN KENNETH WEAVER
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
CHELSEA ANN MARTINEZ LPC
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
ZAKREE BUCCITELLI LPC
Counselor
4522 FULTON DR NW
CANTON, OH
ZIP 44718
CHANTELLE MARIE GOULET
Social Worker
4522 FULTON DR NW
CANTON, OH
ZIP 44718
LINDA MARCEL-RENE LPC
Counselor
4522 FULTON DR NW
CANTON, OH
ZIP 44718
ASHLEY KAMINSKI LPC
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
WELLNESS GROVE, LLC
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
BRITTANY FRANKLIN LPCC
Counselor
(Mental Health)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
MELISSA TOLSON LSW
Social Worker
4522 FULTON DR NW
CANTON, OH
ZIP 44718
KATALIN BUEHRLE LSW
Social Worker
4522 FULTON DR NW
CANTON, OH
ZIP 44718
MICHAEL LUTHY LPC
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
JOSHUA WITTMER LPC
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
MEGAN SCHULTZ LPC
Counselor
(Professional)
4522 FULTON DR NW
CANTON, OH
ZIP 44718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124865654, enumerated as an "organization" on July 11, 2024.
The provider is located at 4522 FULTON DR NW CANTON, OH 44718 and the phone number is (330) 915-2907.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
