Individual provider Active NPI

Emily Grace McWilliams, LPC

  • Mental Health Counselor
  • Canton, OH
National Provider Identifier
1821745654
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2203975 Issued in OH
Practice address
408 9TH St SW
Canton, OH 44707-4714
Phone
(304) 542-0000
NPI assigned
Mar 2, 2022
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2203975 OH Primary

Addresses

Primary practice location

408 9TH St SW
Canton, OH 44707-4714

Mailing address

408 9TH St SW
Canton, OH 44707-4714
Phone (330) 454-2000

Other identifiers 1

IdentifierTypeStateIssuer
0000152MedicaidOH

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
I20240326001829 OH Practitioner - Mental Health Counselor 7911344965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2203975OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Health and Dental Center, Inc Current Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Jan 31, 2024 Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Jan 31, 2024 Accepting new patients

Locations

2725 Lincoln St E
Canton, OH 44707
Phone (330) 454-2000

408 9th St SW
Canton, OH 44707
Phone (330) 445-1039

830 Amherst Rd NE
Massillon, OH 44646
Phone (330) 454-2000

Organizations & group practices 3

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1821745654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074714",
            "telephone_number": "330-454-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074714",
            "telephone_number": "304-542-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2203975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.