NPIMap

Individual provider Active NPI

Annelyse Debellis, MA, PC

  • Professional Counselor
  • North Canton, OH
National Provider Identifier
1053560359
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-0602083 Issued in OH
Practice address
1469 S Main St
North Canton, OH 44720-4245
Phone
(330) 499-3065
Fax
(330) 499-2497
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C-0602083 OH Primary

Addresses

Primary practice location

1469 S Main St
North Canton, OH 44720-4245

Mailing address

1469 S Main St
North Canton, OH 44720-4245
Phone (330) 499-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C-0602083OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Branch Counseling Current Accepting new patients
Gentle Shepherd Counseling Center Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1053560359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204245",
            "telephone_number": "330-499-3065",
            "fax_number": "330-499-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204245",
            "telephone_number": "330-499-3065",
            "fax_number": "330-499-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELLIS",
        "first_name": "ANNELYSE",
        "credential": "MA, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C-0602083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.