| Wellness Grove, LLC | |
|
4522 Fulton Dr Nw Canton OH 44718-2332 | |
| (330) 915-2907 | |
| (330) 915-2958 |
| Full Name | Wellness Grove, LLC |
|---|---|
| Speciality | Counselor |
| Location | 4522 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Shaun Swiger (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 3309152907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Grove, LLC 4522 Fulton Dr Nw Canton OH 44718-2332 Ph: (330) 915-2907 | Wellness Grove, LLC 4522 Fulton Dr Nw Canton OH 44718-2332 Ph: (330) 915-2907 |
| NPI Number | 1043899859 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Medicare PECOS PAC ID | 5092104109 |
|---|---|
| Medicare Enrollment ID | O20211111000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043899859 | NPI | - | NPPES |
| 0444569 | Medicaid | OH |
| Provider Name | Sara Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497953657 PECOS PAC ID: 2264505445 Enrollment ID: I20080722000033 |
| Provider Name | Gina Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942750666 PECOS PAC ID: 6800175738 Enrollment ID: I20161117001487 |
| Provider Name | Gregory Southard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588183453 PECOS PAC ID: 0244681369 Enrollment ID: I20240112001455 |
| Provider Name | Matthew Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801387915 PECOS PAC ID: 2668825779 Enrollment ID: I20240125000414 |
| Provider Name | Rachel Gombash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821594227 PECOS PAC ID: 2365895364 Enrollment ID: I20240125003595 |
| Provider Name | Paige Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376157115 PECOS PAC ID: 9931552973 Enrollment ID: I20240126000238 |
| Provider Name | Jessica Headley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316450562 PECOS PAC ID: 8325437437 Enrollment ID: I20240126003013 |
| Provider Name | Caitlin C Mcdougle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942703673 PECOS PAC ID: 8628421559 Enrollment ID: I20240126004083 |
| Provider Name | Thomas Deiotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801386263 PECOS PAC ID: 2567815129 Enrollment ID: I20240130003163 |
| Provider Name | Brittany Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053823633 PECOS PAC ID: 3870946452 Enrollment ID: I20240131000382 |
| Provider Name | Christy Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134716202 PECOS PAC ID: 1456704964 Enrollment ID: I20240131005031 |
| Provider Name | Shannon Woodard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639539059 PECOS PAC ID: 2163867029 Enrollment ID: I20240301000164 |
| Provider Name | Pamela Ebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467711580 PECOS PAC ID: 0547688616 Enrollment ID: I20240306002228 |
| Provider Name | Olivia Weinzatl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932752938 PECOS PAC ID: 0244677755 Enrollment ID: I20240320000699 |
| Provider Name | Rebecca Chajkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164915039 PECOS PAC ID: 1456798339 Enrollment ID: I20240327002772 |
| Provider Name | Susan Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124007679 PECOS PAC ID: 7315480555 Enrollment ID: I20240617002069 |
| Provider Name | Cherita Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619515749 PECOS PAC ID: 0042742686 Enrollment ID: I20241021001616 |
| Provider Name | Jessica Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700283801 PECOS PAC ID: 1153854914 Enrollment ID: I20241031002802 |
| Provider Name | Christina Michelle Woloch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376206169 PECOS PAC ID: 8729513213 Enrollment ID: I20241120002887 |
| Provider Name | Larissa A. Haring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174868129 PECOS PAC ID: 6901331230 Enrollment ID: I20241125000291 |
| Provider Name | Erin Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912465774 PECOS PAC ID: 7911433453 Enrollment ID: I20241209000522 |
| Provider Name | Carly Chapman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164066676 PECOS PAC ID: 9830625052 Enrollment ID: I20241211004029 |
| Provider Name | Lindsay West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396369534 PECOS PAC ID: 5597292334 Enrollment ID: I20241218001727 |
| Provider Name | Abigail Arner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518455427 PECOS PAC ID: 9335676907 Enrollment ID: I20241219003849 |
| Provider Name | Crystal Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811394000 PECOS PAC ID: 3375070550 Enrollment ID: I20241230002257 |
| Provider Name | Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316417793 PECOS PAC ID: 4183152333 Enrollment ID: I20250115002492 |
| Provider Name | Leah Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801562962 PECOS PAC ID: 9335679281 Enrollment ID: I20250207001853 |
| Provider Name | Natalie Cross-ketler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588315626 PECOS PAC ID: 0648700229 Enrollment ID: I20250212000643 |
| Provider Name | Ann F Brandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841315694 PECOS PAC ID: 8820518707 Enrollment ID: I20250221002132 |
| Provider Name | Lynn Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629167564 PECOS PAC ID: 8224552435 Enrollment ID: I20250409002501 |
| Provider Name | David Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992353718 PECOS PAC ID: 6406375138 Enrollment ID: I20250527002320 |
| Provider Name | Katalin Buehrle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063299030 PECOS PAC ID: 7911494703 Enrollment ID: I20251015001611 |
| Provider Name | Megan Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093380750 PECOS PAC ID: 4688166788 Enrollment ID: I20251125004271 |
| Provider Name | Emma Olee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861109845 PECOS PAC ID: 2769976612 Enrollment ID: I20251209002538 |
| Provider Name | Judy L Sallerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295248771 PECOS PAC ID: 8022502673 Enrollment ID: I20251210003822 |
| Provider Name | Dashae Burge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144997644 PECOS PAC ID: 0446739528 Enrollment ID: I20260209003499 |
| Provider Name | Joshua S Prince |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962025718 PECOS PAC ID: 7911486923 Enrollment ID: I20260210002381 |
| Provider Name | Maggie R Rosner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407507262 PECOS PAC ID: 4587144902 Enrollment ID: I20260216001362 |
| Provider Name | Joncquil Hope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912445586 PECOS PAC ID: 0749763738 Enrollment ID: I20260309000381 |
| Provider Name | Rachel Tassile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134617988 PECOS PAC ID: 9739662925 Enrollment ID: I20260316003454 |
| Provider Name | Anna Ellenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679268452 PECOS PAC ID: 8426533050 Enrollment ID: I20260331003614 |
| Provider Name | Andrew Joseph Wilcoxson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649959594 PECOS PAC ID: 8022586551 Enrollment ID: I20260504005961 |
| Provider Name | Elisheva Schwersenski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407216625 PECOS PAC ID: 1951879857 Enrollment ID: I20260508002729 |
| Provider Name | Caitlin Cable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376182410 PECOS PAC ID: 0941771497 Enrollment ID: I20260604003866 |
Lenzy Family Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 Fulton Rd Nw Ste 103, Canton, OH 44709 Phone: 330-956-5936 |
Open Arms 4 You LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Tyler Ave Se, Canton, OH 44707 Phone: 330-356-1512 |
Psychological & Educational Solutions, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1829 Fulton Rd Nw, Canton, OH 44709 Phone: 330-456-1899 Fax: 330-456-4191 |
Pathway Caring for Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 |
Shapuite Counseling Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Rockwood Ave Sw, Canton, OH 44710 Phone: 330-806-0566 |
Crisis Intervention and Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Mckinley Ave Nw, Canton, OH 44703 Phone: 330-452-9812 Fax: 330-430-1288 |