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MARISA WALLACE LPC
NPI 1316417439
Counselor - Professional in Mentor, OH

Active since December 01, 2018
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Aug 27, 2019, Dec 1, 2018 (3 updates tracked since 2018).

About Marisa Wallace Lpc NPPES

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

MARISA WALLACE LPC (NPI 1316417439) is an individual professional provider in Mentor, Ohio, licensed in Ohio (C.190690) and active in the NPI registry since December 2018. She maintains a secondary practice location in Euclid.

NPPES Registry Identity

NPI1316417439
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISA WALLACECredential: LPC
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorNo
Enumeration DateDecember 1, 2018
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1316417439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.190690
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7232 JUSTIN WAY, Mentor, OH 44060
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Secondary Practice Location 1

Location 123780 Farringdon AveEuclid, OH 44123-1537 · Phone (216) 240-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

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 Marisa Wallace's NPI number?

The NPI number for Marisa Wallace is 1316417439. It was assigned to this individual provider in the NPPES registry on December 1, 2018.

Where is Marisa Wallace located?

Marisa Wallace practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Marisa Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Marisa Wallace accept?

Health plans from UnitedHealthcare list Marisa Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Wallace was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.