NPIMap

Organization Active NPI

Vista Psychological & Counseling Centre LLC

  • Clinical Psychologist
  • Canton, OH
National Provider Identifier
1558535658
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VISTA PSYCHOLOGICAL & COUNSELING CENTRE LLC
Practice address
4845 Fulton Dr NW Ste 4
Canton, OH 44718-2300
Phone
(330) 244-8782
Fax
(330) 244-8795
NPI assigned
Apr 18, 2008
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Robert A Humphries, PHDNPI 1447319181
Title
Psychologist
Phone
(330) 244-8782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

4845 Fulton Dr NW Ste 4
Canton, OH 44718-2300

Mailing address

4845 Fulton Dr NW Ste 4
Canton, OH 44718-2300
Phone (330) 244-8782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000573 OH Part B Supplier - Clinic/Group Practice 2365517836 Receives reassigned benefits from 16 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4845 Fulton Dr NW
Ste 4
Canton, OH 44718
Phone (330) 244-8782

1201 S Main St
Ste 100
North Canton, OH 44720
Phone (330) 244-8782

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1558535658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 FULTON DR NW STE 4",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182300",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 FULTON DR NW STE 4",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182300",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PSYCHOLOGICAL & COUNSELING CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-244-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.