MARI LYN LPCC
NPI 1962848804
Counselor - Professional in Canton, OH

Active since May 20, 2013
1711 SPRING AVE NE, CANTON, OH 44714(330) 454-6800(330) 588-7176 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Oct 14, 2016 (2 updates tracked since 2016).

About Mari Lyn Lpcc NPPES

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

MARI LYN LPCC (NPI 1962848804) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.1300345) and active in the NPI registry since May 2013. She maintains a secondary practice location in Massillon.

NPPES Registry Identity

NPI1962848804
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARI LYNCredential: LPCC
Location Address1711 SPRING AVE NECanton, OH 44714-2349
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 455-2101
Fax(330) 588-7176
Sole ProprietorNo
Enumeration DateMay 20, 2013
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1962848804 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.1300345
1711 SPRING AVE NE, Canton, OH 44714

Other Names 1

Former Name (1)Marie Lyn Ballentine

Secondary Practice Location 1

Location 11680 Nave Rd SEMassillon, OH 44646-9604 · Phone (330) 830-8740 · Fax (330) 830-0912

Other Identifiers 1

Medicaid0181586OH

Accepted Insurance

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.

Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Social Worker
1711 SPRING AVE NE
CANTON, OH 44714
Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Counselor (Addiction (Substance Use Disorder))
1711 SPRING AVE NE
CANTON, OH 44714
Social Worker (Clinical)
1711 SPRING AVE NE
CANTON, OH 44714

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 Mari Lyn's NPI number?

The NPI number for Mari Lyn is 1962848804. It was assigned to this individual provider in the NPPES registry on May 20, 2013. The provider is also known as Marie Lyn Ballentine.

Where is Mari Lyn located?

Mari Lyn practices at 1711 Spring Ave NE, Canton, OH 44714. The listed phone number is (330) 454-6800.

What is Mari Lyn's specialty?

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

What insurance does Mari Lyn accept?

Health plans from Blue Cross and Blue Shield of Texas, MedMutual and UnitedHealthcare list Mari Lyn 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 Mari Lyn was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.