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LAUREN ELIZABETH WALLACE LPCC
NPI 1316417793
Counselor - Mental Health in Canton, OH

Active since November 28, 2018PECOS EnrolledAccepts Medicare Assignment
4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 21, 2026, May 26, 2021, Nov 28, 2018 (3 updates tracked since 2018).

About Lauren Elizabeth Wallace Lpcc NPPES

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

LAUREN ELIZABETH WALLACE LPCC (NPI 1316417793) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.2404940) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316417793
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAUREN ELIZABETH WALLACECredential: 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 2022
Enumeration DateNovember 28, 2018
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1316417793 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 · E.2404940
4522 FULTON DR NW, Canton, OH 44718
Open in Google Maps ↗

Other Names 1

Former Name (1)Lauren Elizabeth Hunter

Secondary Practice Locations 2

Location 15611 Hudson Dr Ste 400Hudson, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958
Location 24200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Elizabeth Wallace Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183152333
PECOS Enrollment IDI20250115002492
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lauren Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Grove, LLC
Same address
Mental Health
4522 FULTON DR NW
Canton, OH 44718
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1043899859 (330) 915-2907
Coleman Professional Services, Inc.
4.5 mi
Community/Behavioral Health
400 TUSCARAWAS ST W, SUITE 200
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1134296213 (330) 438-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALEXIS GIBBS LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
KILEE SHAWD-SOPKO CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ZAKREE BUCCITELLI LPC
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
SARAH MOYER CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
NICKALAUS PRYOR CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
SAMANTHA MARIE BURGOS CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ALANNA SUDBERRY LSW
Social Worker
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ASHLEY KAMINSKI LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907

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 Lauren Wallace's NPI number?

The NPI number for Lauren Wallace is 1316417793. It was assigned to this individual provider in the NPPES registry on November 28, 2018. The provider is also known as Lauren Elizabeth Hunter.

Where is Lauren Wallace located?

Lauren Wallace practices at 4522 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 915-2907.

What is Lauren Wallace's specialty?

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

Is Lauren Wallace enrolled in Medicare?

Yes. Lauren Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lauren Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Wallace reassigns Medicare benefits to 2 organizations: Wellness Grove, LLC (Canton, OH) and Coleman Professional Services, Inc. (Canton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Lauren 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 Lauren Wallace was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.