Individual provider Active NPI

Jessica L Lance, LPCC

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1073801684
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1100372-SUPV Issued in OH
Practice address
1801 Schneider St NE
Door 6
Canton, OH 44721-3349
Phone
(330) 470-4061
NPI assigned
Jul 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X E.1100372-SUPV OH Primary

Addresses

Primary practice location

1801 Schneider St NE
Door 6
Canton, OH 44721-3349

Mailing address

4641 Fulton Dr NW
Canton, OH 44718-2384
Phone (330) 433-6075

Other practice location 1

4641 Fulton Dr Nw
Canton, OH 44718-2384
Phone (330) 433-6075

Other practice location 2

405 S Linden Ave
Alliance, OH 44601-3035
Phone (330) 433-6075

Other practice location 3

919 2nd St NE
Canton, OH 44704-1132
Phone (330) 454-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002040 OH Practitioner - Mental Health Counselor 4284161811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Adolescent Behavioral Health CurrentSince Oct 17, 2024 Accepting new patients
Child and Adolescent Behavioral Health PastSince Oct 17, 2024 Accepting new patients

Locations

405 S Linden Ave
Alliance, OH 44601
Phone (330) 433-6075

4641 Fulton Dr NW
Canton, OH 44718
Phone (330) 433-6075

919 2nd St NE
Canton, OH 44704
Phone (330) 454-7917

1801 Schneider St NE
#6
Canton, OH 44721
Phone (330) 415-9220

1801 Schneider St NE
Canton, OH 44721
Phone (330) 454-7917

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1073801684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182384",
            "telephone_number": "330-433-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SCHNEIDER ST NE",
            "address_2": "DOOR 6",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213349",
            "telephone_number": "330-470-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4641 Fulton Dr Nw",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182384",
            "country_code": "US",
            "telephone_number": "330-433-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 S Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446013035",
            "country_code": "US",
            "telephone_number": "330-433-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 2nd St NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447041132",
            "country_code": "US",
            "telephone_number": "330-454-7917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCE",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1100372-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.