LYNN EDWARDS (LPCC-S) – Mental Health Counselor, NPI 1629167564

LYNN EDWARDS (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. 3536-125 (WI). The NPI Number for LYNN EDWARDS (LPCC-S) is 1629167564

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
LYNN EDWARDS (LPCC-S)
NPI
1629167564
Phone
(330) 454-2000
Address
408 9TH ST SW
Enumeration Date
11 October 2006
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309152907
Graduation Year
2007 (19 years ago)
PAC ID
8224552435
Group Practice PAC ID
5092104109
Professional Enrollment ID
I20250409002501
Address ID
OH447182332CA4522XNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for LYNN EDWARDS (LPCC-S)

  • 408, 9th Street Southwest, Downtown Canton Arts District, Canton, Stark County, Ohio, 44707, United States

    CANTON, OH 447074714

    Phone: (330) 454-2000

    Fax: (234) 215-3161

    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

  • 4522 FULTON DR NW

    CANTON, OH 447182332

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    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: 2025-04-09

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
I20250409002501IMental 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 44707)

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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 identifier follows LYNN EDWARDS (LPCC-S) across health systems?
The NPI 1629167564 uniquely identifies LYNN EDWARDS (LPCC-S) in U.S. healthcare data.
Should I treat LYNN EDWARDS (LPCC-S) as an active provider?
Patients and plans typically see LYNN EDWARDS (LPCC-S) as active in the national extract.
What services align with LYNN EDWARDS (LPCC-S)'s listing?
LYNN EDWARDS (LPCC-S)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to LYNN EDWARDS (LPCC-S)?
The directory associates LYNN EDWARDS (LPCC-S) with Canton, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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