Individual provider Active NPI

Denise McPherson, LPCC

  • Professional Counselor
  • North Canton, OH
National Provider Identifier
1831518505
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1801002 Issued in OH
Practice address
4830 Frank Ave NW
North Canton, OH 44720
Phone
(330) 806-9616
NPI assigned
Apr 10, 2014
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 E1801002 OH Primary

Addresses

Primary practice location

4830 Frank Ave NW
North Canton, OH 44720

Mailing address

3140 Modred Cir NW
Canton, OH 44708
Phone (330) 806-9616

Other practice location 1

2416 Whipple Ave NW
Canton, OH 44708-1514
Phone (330) 806-9616

Other practice location 2

708 Tremont Ave SW
Massillon, OH 44647-6471
Phone (330) 806-9616

Other identifiers 2

IdentifierTypeStateIssuer
0057723MedicaidOH
0256515MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E1801002OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denise McPherson, LPCC, LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

2416 Whipple Ave NW
Canton, OH 44708
Phone (330) 305-2753

708 Tremont Ave SW
Massillon, OH 44647
Phone (330) 407-1933

4830 Frank Ave NW
North Canton, OH 44720
Phone (330) 313-4148

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1831518505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 MODRED CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-806-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-806-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 Whipple Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447081514",
            "country_code": "US",
            "telephone_number": "330-806-9616",
            "fax_number": "330-639-1712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Tremont Ave SW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446476471",
            "country_code": "US",
            "telephone_number": "330-806-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "DENISE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1801002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256515",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.