JUDY L SALLERSON LPCC
NPI 1295248771
Counselor - Mental Health in Canton, OH

Q: What is Judy Sallerson's NPI number?

The NPI number for Judy Sallerson is 1295248771. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Q: What is Judy Sallerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Judy Sallerson was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2017PECOS Enrolled

4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 20, 2025, Oct 21, 2022, Jul 11, 2018 and 1 more (4 updates tracked since 2017).

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About Judy L Sallerson Lpcc NPPES

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

JUDY L SALLERSON LPCC (NPI 1295248771) is an individual mental health provider in Canton, Ohio, licensed in Ohio (C1801347) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295248771

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJUDY L SALLERSONCredential: LPCC

Location Address4522 FULTON DR NWCanton, OH 44718-2332

Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907 · Fax (330) 915-2958

Phone(330) 915-2907

Fax(330) 915-2958

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 7, 2017

Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1295248771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · C1801347

4522 FULTON DR NW, Canton, OH 44718

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Secondary Practice Location 1

Location 14200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Identifiers 1

Medicaid0266584OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy L Sallerson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022502673

PECOS Enrollment IDI20251210003822

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.

KATHERINE KIRKHOLDER

Counselor (Mental Health)