TINA ROSE-MATHESON MA, ED, PCC
NPI 1346365384
Counselor - Professional in Canton, OH

Q: What is Tina Rose-matheson's NPI number?

The NPI number for Tina Rose-matheson is 1346365384. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Tina Rose-matheson's specialty?

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

Active since March 20, 2007PECOS Enrolled

4641 FULTON DR NW, CANTON, OH 44718(330) 433-6075(330) 494-0299 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Sep 11, 2025 (2 updates tracked since 2025).

On this page

About Tina Rose-matheson Ma, Ed, Pcc NPPES

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

TINA ROSE-MATHESON MA, ED, PCC (NPI 1346365384) is an individual professional provider in Canton, Ohio, licensed in Ohio (E0004230) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346365384

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTINA ROSE-MATHESONCredential: MA, ED, PCC

Location Address4641 FULTON DR NWCanton, OH 44718-2384

Mailing Address5480 Pigeon Run Rd SwNavarre, OH 44662-9612 · (330) 305-1668

Phone(330) 433-6075

Fax(330) 494-0299

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1346365384 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 · E0004230

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E0004230 (OH)

4641 FULTON DR NW, Canton, OH 44718

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1405 S Linden AveAlliance, OH 44601-3035 · Phone (330) 433-6075

Location 21801 Schneider St NeCanton, OH 44721-3349 · Phone (330) 470-4061

Location 3919 2nd St NECanton, OH 44704-1132 · Phone (330) 454-7917

Other Identifiers 1

Medicaid0175056OH

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 (PECOS)

Tina Rose-matheson Ma, Ed, Pcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tina Rose-matheson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Adolescent Behavioral Health

Same address

Community/Behavioral Health

4641 FULTON DR NW
Canton, OH 44718

Reassigned Medicare billing, Ohio enrollment
21 clinicians in this Medicare group

NPI 1831172576 (330) 433-6075

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.

HEATHER ANNE STRANGE

Community Health Worker