MARISSA LYNN LINDBERG


Address: 1341 Market Ave N, Canton, OH 44714-2605
Phone: 3304550374

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 0367245 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
625 Cleveland Ave Nw, Canton, OH 447021805 3304550374 3304536716

Office Location

Street Address 1341 MARKET AVE N
City CANTON
State OH
Zip Code 44714-2605

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CANTON
Zip Code 44714

Improve Information

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Dataset Information

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.

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