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

Stephen James Wallace, LPCC

Individual provider Professional Counselor · NPI 1023399052

Stephen James Wallace, LPCC is a Mental Health Counselor in Canton, Ohio. Qualified in 2011, 15 years ago. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
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

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone: (330) 453-8252
Fax: (330) 453-6716
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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.1000187 (OH)

Record details

NPI number1023399052
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedSeptember 3, 2011
Last updated in NPPESMarch 2, 2017
Mailing address625 Cleveland Ave Nw, Canton, OH 44702-1805

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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