Individual provider Active NPI

Alise G. Bartley, PH.D.

  • Mental Health Counselor
  • Massillon, OH
National Provider Identifier
1104801059
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E--003018 Issued in OH
Practice address
2400 Wales Ave NW
Suite K
Massillon, OH 44646-0804
Phone
(330) 833-2452
Fax
(330) 833-2749
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E--003018 OH Primary
Marriage & Family Therapist 106H00000X F-0068 OH

Addresses

Primary practice location

2400 Wales Ave NW
Suite K
Massillon, OH 44646-0804

Mailing address

2400 Wales Ave NW
Suite K
Massillon, OH 44646-0804
Phone (330) 833-2452

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E--003018OHMDMental Health Counselor
F-0068OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Community Wellness Inc. Mental Health Current Accepting new patients
The Relationship Center of Northeast Ohio, LLC Mental Health 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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104801059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "SUITE K",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-833-2452",
            "fax_number": "330-833-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "SUITE K",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-833-2452",
            "fax_number": "330-833-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "ALISE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E--003018",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F-0068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.