BENJAMIN MICKEY LPCC-S
NPI 1427544626
Counselor - Mental Health in Canton, OH

Q: What is Benjamin Mickey's NPI number?

The NPI number for Benjamin Mickey is 1427544626. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Q: What is Benjamin Mickey'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 Benjamin Mickey 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 July 11, 2018PECOS 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 02, 2026.

Record update history: Jan 21, 2026, Aug 7, 2023, Jul 11, 2018 (3 updates tracked since 2018).

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About Benjamin Mickey Lpcc-s NPPES

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

BENJAMIN MICKEY LPCC-S (NPI 1427544626) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.2002010-SUPV) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427544626

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameBENJAMIN MICKEYCredential: LPCC-S

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 DateJuly 11, 2018

Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1427544626 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.2002010-SUPV

Also ListedCounselorTaxonomy 101Y00000X · License E.2002010-SUPV (OH)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.2002010-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

Medicaid0306304OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Benjamin Mickey Lpcc-s 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.

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)