NPIMap

Organization Active NPI

Avo Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Canton, OH
National Provider Identifier
1104431410
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AVO BEHAVIORAL HEALTH LLC
Practice address
4433 38TH St NW
Canton, OH 44718-2783
Phone
(330) 331-7506
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacy L Stout
Title
Billing Manager
Phone
(330) 331-7506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4433 38TH St NW
Canton, OH 44718-2783

Mailing address

3745 Whipple Ave NW Ste a
Canton, OH 44718-4805
Phone (330) 331-7506

Other practice location 1

3745 Whipple Ave NW
Canton, OH 44718-4805
Phone (330) 331-7506 ext. 121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517001970 OH Part B Supplier - Clinic/Group Practice 6406265735 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canton, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Avo Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4105 Holiday St NW
Ste 202
Canton, OH 44718
Phone (330) 826-1430

3745 Whipple Ave NW
Canton, OH 44718
Phone (330) 331-7506

3745 Whipple Ave NW
Ste A
Canton, OH 44718
Phone (330) 331-7506

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1104431410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "330-331-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 38TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182783",
            "telephone_number": "330-331-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 Whipple Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447184805",
            "country_code": "US",
            "telephone_number": "330-331-7506 x121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "330-331-7506"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.