PAIGE WALLACE LPCC-S, CCATP
NPI 1376157115
Counselor - Mental Health in Canton, OH

Q: What is Paige Wallace's NPI number?

The NPI number for Paige Wallace is 1376157115. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Paige Wallace'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 Paige 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 6 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.

Active since August 31, 2020PECOS Enrolled

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: August 09, 2026.

Record update history: Jan 21, 2026, Dec 7, 2023, May 15, 2023 and 4 more (7 updates tracked since 2020).

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About Paige Wallace Lpcc-s, Ccatp NPPES

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

PAIGE WALLACE LPCC-S, CCATP (NPI 1376157115) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.2303295-SUPV) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376157115

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePAIGE WALLACECredential: LPCC-S, CCATP

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

Enumeration DateAugust 31, 2020

Last NPPES UpdateJanuary 21, 20267 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1376157115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.2303295-SUPV

Also ListedCounselorTaxonomy 101Y00000X · License E.2303295-SUPV (OH)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.2303295-SUPV (OH)

4522 FULTON DR NW, Canton, OH 44718

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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

Other Identifiers 1

Medicaid0420288OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paige Wallace Lpcc-s, Ccatp 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

184 services22 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

14 services14 patients

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)