MARISSA LYNN LINDBERG (NPI# 1922656396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922656396 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN LINDBERG |
| Credential | CT |
| Practice Address |
1341 Market Ave N Canton OH 44714-2605 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304550374 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA171100 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2002699 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0367245 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 Cleveland Ave Nw, Canton, OH 447021805 | 3304550374 | 3304536716 |
| Street Address |
1341 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44714-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230093 | Catherine B. Chambers | Internal Medicine | 1341 Market Ave N, Canton, OH 44714-2605 | 2005-07-22 |
| 1770105447 | Katelyn Jo Ertle | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2020-05-15 |
| 1427670363 | Eric M Riesterer | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2020-05-14 |
| 1053933994 | Lisa Maria Mellott | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2020-05-14 |
| 1750915807 | Brittany Mccue | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2020-02-27 |
| 1336796192 | Tammy A Richardson | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2019-08-26 |
| 1326609900 | Melody K Scott | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2019-06-25 |
| 1619432796 | Melanie Rosalie Brenneman | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2019-02-04 |
| 1861964066 | Christina Lorraine Burr | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2018-12-28 |
| 1780159921 | Lynne Marie Shayko | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941365 | Desiree Morgan | Occupational Therapy Assistant | 1634 20th St. N.e., Canton, OH 44714 | 2017-09-19 |
| 1932525706 | Cody Henninge | In Home Supportive Care | 2800 Market Ave N Suite 16, Canton, OH 44714 | 2014-03-17 |
| 1346584984 | Quest Recovery and Prevention Services | Substance Abuse Rehabilitation Facility | 1711 Spring Avenue Nw, Canton, OH 44714 | 2012-11-20 |
| 1316336878 | Erika D Putnam | Counselor | 1711 Spring Ave Ne, Canton, OH 44714 | 2015-01-21 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1982171468 | Adrienne Chavers | Home Health | 5438 Market Ave N, Canton, OH 44714-1059 | 2018-11-01 |
| 1912061797 | Living 4 Independence | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4629 Helmsworth Dr Ne, Canton, OH 44714-1162 | 2006-12-19 |
| 1114306412 | Haydee Thomas | Registered Nurse | 4611 Lindenwood Ave Ne, Canton, OH 44714-1169 | 2015-05-20 |
| 1225353444 | Carline Andrea Smith | Licensed Practical Nurse | 1635 Cadney St Ne, Canton, OH 44714-1192 | 2010-03-30 |
| 1811386881 | Heather Fowler | Dietitian, Registered | 4665 Renworth Ave Ne, Canton, OH 44714-1194 | 2015-01-14 |
| Find all providers in zip 44714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1134736739 | Janice Marie Mccarthy | Counselor | 12 Old Meadow Ln, Canton, MA 02021-2103 | 2020-09-28 |
| 1497374656 | Brandi Smallwood | Counselor | 147 Clifford Ct, Canton, GA 30115-9336 | 2020-04-08 |
| 1194365098 | Madyna Rancifer | Counselor | 18 Bailey Ct Apt F, Canton, MA 02021-3939 | 2020-01-09 |
| 1942847884 | Joseph Anthony Ashley | Counselor | 3805 Woodland Ave Nw, Canton, OH 44709-2533 | 2019-12-10 |
| 1679117386 | Darryl Wayne Peterson II | Counselor | 3040 Wicker St Ne, Canton, OH 44721-2298 | 2019-11-05 |
| 1376187500 | Breaking Barriers - Hope Is Alive | Counselor | 1920 Schneider St Ne, Canton, OH 44721-3352 | 2019-10-31 |
| 1518529247 | Claude Melbern Aldous | Counselor | 2746 State Highway 68, Canton, NY 13617-3842 | 2019-07-02 |
| 1255834412 | Gorrell Counseling LLC | Counselor | 4501 Hills and Dales Rd Nw Ste 202, Canton, OH 44708-1572 | 2018-03-14 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.