MEDICARE: MR. JON LAWSON LINDSEY MA, PCC, NCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E. 0002944	OH
2	101YP2500X	Professional Counselor	E. 0002944 SUPV	OH

General Provider Information

NPI Number	:	1962629717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JON LAWSON LINDSEY MA, PCC, NCP

Provider Business Mailing Address
First Line	:	1415 22ND ST NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44714-2003
Country	:	US
Telephone Number	:	330-455-5082
Fax Number	:	330-455-5082

Provider Business Practice Location Address
First Line	:	4829 MUNSON ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-3614
Country	:	US
Telephone Number	:	330-244-9499
Fax Number	:	330-244-9499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	09/11/2025

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