Individual provider Active NPI

Taylor Clay, LPC

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1679088413
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1700713 Issued in OH
Practice address
4895 Dressler Rd NW Ste a
Canton, OH 44718-2571
Phone
(330) 493-0083
NPI assigned
Dec 1, 2017
Last updated
Dec 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1700713 OH Primary

Addresses

Primary practice location

4895 Dressler Rd NW Ste a
Canton, OH 44718-2571

Mailing address

4895 Dressler Rd NW Ste a
Canton, OH 44718-2571

Other names 1

  • Taylor Clay Former name

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
I20240223003762 OH Practitioner - Mental Health Counselor 4284079732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 S Main St
Suite 100
North Canton, OH 44720-4283

3460 S Dixie Dr
Dayton, OH 45439-2321

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700713OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Dec 23, 2025 Accepting new patients
Vista Psychological & Counseling Centre LLC CurrentSince Jan 15, 2025 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 1, 2024 Accepting new patients
Pathway Caring for Children Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

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

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1679088413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571",
            "telephone_number": "330-493-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "TAYLOR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CLAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.