Active NPI
Barbara J Wallis, LPCC-SUPV
- Professional Counselor
- Dover, OH
National Provider Identifier
1124431515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0600069 SUPV
- Practice address
- 130 W 3Rd St
Dover, OH 44622-2934 - Phone
- (330) 343-6600
- Fax
- (330) 343-6405
- NPI assigned
- Jun 4, 2014
- Last updated
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0600069 SUPV | OH | Primary |
Addresses
Primary practice location
130 W 3Rd St
Dover, OH 44622-2934
Mailing address
130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan L Dunn, PH.D., Inc | Professional | Current | Accepting new patients |
Locations
130 W 3rd St
Dover, OH 44622
Phone (330) 343-6600
404 N Walnut St
Dover, OH 44622
Phone (330) 343-6600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1124431515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600",
"fax_number": "330-343-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600",
"fax_number": "330-343-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLIS",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "LPCC-SUPV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600069 SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.