Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ian Michael Dewalt, LPCC

Individual provider Professional Counselor · NPI 1689284093

Mr. Ian Michael Dewalt, LPCC is a Mental Health Counselor in Chardon, Ohio. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2020
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2606597 (OH)

Record details

NPI number1689284093
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedAugust 1, 2020
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address12557 Ravenwood Dr, Chardon, OH 44024-9009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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