Active NPI
Marisha Lynn Holman-Mitchell, OCPSA, LPC, LCDCIII
- Prevention Professional
- Canton, OH
National Provider Identifier
1083537393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 162006
- Practice address
- 2021 Mahoney Rd. NE
Canton, OH 44705 - Phone
- (330) 639-5890
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 1060 | OH | |
| Prevention Professional | 405300000X | 162006 | OH | Primary |
Addresses
Primary practice location
2021 Mahoney Rd. NE
Canton, OH 44705
Mailing address
2021 Mahoney Rd. NE
Canton, OH 44705
Phone (330) 639-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1083537393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 MAHONEY RD. NE",
"city": "CANTON",
"state": "OH",
"postal_code": "44705",
"telephone_number": "330-639-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 MAHONEY RD. NE",
"city": "CANTON",
"state": "OH",
"postal_code": "44705",
"telephone_number": "330-639-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN-MITCHELL",
"first_name": "MARISHA",
"middle_name": "LYNN",
"credential": "OCPSA, LPC, LCDCIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "1060",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "162006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.