Individual provider Active NPI

June L. Phelps, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Canton, OH
National Provider Identifier
1275634560
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
5622 Issued in OH
Practice address
101 Cleveland Ave NW
Suite 300
Canton, OH 44702-1700
Phone
(330) 454-7066
NPI assigned
Sep 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5622 OH
Clinical Child & Adolescent Psychologist 103TC2200X 5622 OH Primary

Addresses

Primary practice location

101 Cleveland Ave NW
Suite 300
Canton, OH 44702-1700

Mailing address

1323 23Rd St NW
Canton, OH 44709-4303
Phone (330) 456-3397

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
I20040218001084 OH Practitioner - Clinical Psychologist 1658266598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

843 N Cleveland-Massillon Rd
Suite 6
Fairlawn, OH 44333-9303
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5622OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation CurrentSince Apr 1, 2020 Accepting new patients
Trillium Family Solutions Past Accepting new patients
Lisa Borchert Dba Avenues of Counseling PastSince Apr 1, 2020 Accepting new patients
Human Development and Counseling Assoc Inc Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 723-7977

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275634560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 23RD ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447094303",
            "telephone_number": "330-456-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE NW",
            "address_2": "SUITE 300",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021700",
            "telephone_number": "330-454-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JUNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5622",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.