Individual provider · Type 1 NPI

Jessica Headley, LPCC-S

Mental Health Counselor · Canton, OH

NPI number 1316450562 Active

Practice location

4522 Fulton Dr NW
Canton, OH 44718-2332

Call (330) 915-2907 Map

Fax (330) 915-2958

Other practice locations

  • 5611 Hudson Dr Ste 400, Hudson, OH 44236-4452 · (330) 915-2907
  • 4200 Munson St NW Ste A, Canton, OH 44718-2981 · (330) 915-2907

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE.1901408-SUPV (OH)
Mental Health Counselor Primary 101YM0800XE.1901408-SUPV (OH)
Counselor 101Y00000XE.1901408-SUPV (OH)

Mental Health Counselor: Definition to come...

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About NPI 1316450562

Jessica Headley, LPCC-S's National Provider Identifier is 1316450562, issued on Nov 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, OH. The record was last updated on Jan 21, 2026.