IndividualActive
Marisa Wallace, LPC
NPI 1316417439 · Professional Counselor · Mentor, OH
Provider details
- NPI number
- 1316417439
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
Street-level locationGet directions
Mailing address
7232 Justin Way
Mentor, OH 44060-4881
Additional practice locations (1)
- 23780 Farringdon AveEuclid, OH 44123-1537Phone: (216) 240-1111
Registry dates
- Enumerated
- 2018-12-01
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.