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MR. IAN MICHAEL DEWALT LPCC
NPI 1689284093
Counselor - Professional in Chardon, OH

Active since August 01, 2020PECOS Enrolled
12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ian Michael Dewalt Lpcc NPPES

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

MR. IAN MICHAEL DEWALT LPCC (NPI 1689284093) is an individual professional provider in Chardon, Ohio, licensed in Ohio (E.2606597) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689284093
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. IAN MICHAEL DEWALTCredential: LPCC
Location Address12557 RAVENWOOD DRChardon, OH 44024-9009
Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568
Phone(440) 285-3568
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2020
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1689284093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2606597
12557 RAVENWOOD DR, Chardon, OH 44024
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ian Michael Dewalt Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638652548
PECOS Enrollment IDI20260310001221
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 Ian Dewalt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ravenwood Mental Health Center
Same address
Mental Health (Including Community Mental Health Center)
12557 RAVENWOOD DR
Chardon, OH 44024
  • Reassigned Medicare billing, Ohio enrollment
  • 97 clinicians in this Medicare group
NPI 1053345975 (440) 285-3568

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.

KAILYN JOAN RATLIFF LPN
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
BILLIE SATAVA
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-2170
AUDREE ALICK LSW
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
CRISTINA GABRIELA COGNATI
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
WENDY MERLENE FRANCIS LPC
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
TRISHA LYNN SIMONYI
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
VANESSA PLAUTZ
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
JOSHUA MARK RUBIN
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568

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 Ian Dewalt's NPI number?

The NPI number for Ian Dewalt is 1689284093. It was assigned to this individual provider in the NPPES registry on August 1, 2020.

Where is Ian Dewalt located?

Ian Dewalt practices at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 285-3568.

What is Ian Dewalt's specialty?

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

Is Ian Dewalt enrolled in Medicare?

Yes. Ian Dewalt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ian Dewalt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Dewalt reassigns Medicare benefits to Ravenwood Mental Health Center (Chardon, OH). The 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 Ian Dewalt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Dewalt accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Ian Dewalt 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 Ian Dewalt was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.