DR. PAMELA EBERT (LPCC-S) – Mental Health Counselor, NPI 1467711580

DR. PAMELA EBERT (LPCC-S) is a healthcare provider. based in Canton, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-S. They hold a License No. E.1700159-SUPV (OH). The NPI Number for DR. PAMELA EBERT (LPCC-S) is 1467711580

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAMELA EBERT (LPCC-S)
NPI
1467711580
Phone
(330) 915-2907
Address
4522 FULTON DR NW
Enumeration Date
9 May 2012
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309152907
Graduation Year
2023 (3 years ago)
PAC ID
0547688616
Group Practice PAC ID
5092104109
Professional Enrollment ID
I20240306002228
Address ID
OH447182332CA4522XNWXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for DR. PAMELA EBERT (LPCC-S)

  • 4522 FULTON DR NW

    CANTON, OH 447182332

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Mailing

  • 4200 Munson St NW Ste A

    Canton, OH 447182981

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Location

  • 5611 Hudson Dr Ste 400

    Hudson, OH 442364452

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Location

  • 870 N MARKET ST

    LISBON, OH 444321022

    Phone: (330) 692-7859

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306002228IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092104109View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What NPI should I save for DR. PAMELA EBERT (LPCC-S)?
Save NPI 1467711580 if you need a stable reference for DR. PAMELA EBERT (LPCC-S).
Does this profile mean DR. PAMELA EBERT (LPCC-S) is currently active?
Yes — DR. PAMELA EBERT (LPCC-S) appears active in the national provider directory.
Does DR. PAMELA EBERT (LPCC-S) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for DR. PAMELA EBERT (LPCC-S). Clinical services aligned with this taxonomy classification.
Does DR. PAMELA EBERT (LPCC-S) practice in Ohio?
You will see Canton, Ohio on file for DR. PAMELA EBERT (LPCC-S) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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