MARISSA LYNN LINDBERG LPCC
NPI 1922656396
Counselor - Professional in Canton, OH

Q: What is Marissa Lindberg's NPI number?

The NPI number for Marissa Lindberg is 1922656396. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Q: What is Marissa Lindberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marissa Lindberg was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 29, 2019PECOS EnrolledAccepts Medicare Assignment

1341 MARKET AVE N, CANTON, OH 44714(330) 455-0374(330) 453-6716 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2022, Sep 24, 2021, Jun 10, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Marissa Lynn Lindberg Lpcc NPPES

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

MARISSA LYNN LINDBERG LPCC (NPI 1922656396) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.2202953) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922656396

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARISSA LYNN LINDBERGCredential: LPCC

Location Address1341 MARKET AVE NCanton, OH 44714-2605

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 455-0374

Fax(330) 453-6716

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 29, 2019

Last NPPES UpdateJune 9, 20224 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1922656396 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.2202953

1341 MARKET AVE N, Canton, OH 44714

Open in Google Maps ↗

Other Identifiers 1

Medicaid0367245OH

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 and accepts Medicare assignment

Marissa Lynn Lindberg 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 ID4082062013

PECOS Enrollment IDI20231130002431

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.

JOSEPH N LOCKETT LICDC

Counselor (Addiction (Substance Use Disorder))