Individual provider Active NPI

Charles Edward Marin, LPCC

  • Professional Counselor
  • Lisbon, OH
National Provider Identifier
1134811797
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2607125 Issued in OH
Practice address
964 N Market St
Lisbon, OH 44432-9363
Phone
(330) 424-1468
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2607125 OH Primary

Addresses

Primary practice location

964 N Market St
Lisbon, OH 44432-9363

Mailing address

964 N Market St
Lisbon, OH 44432-9363
Phone (330) 424-1468

Other identifiers 1

IdentifierTypeStateIssuer
0034280MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615000735 OH Practitioner - Mental Health Counselor 0244702983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 7517200579, 4 clinicians

Practice addresses (Care Compare)

1705 Woodland St NE
Warren, OH 44483-5348
Phone (330) 469-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2607125OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling and Wellness LLC CurrentSince Jun 23, 2026 Accepting new patients
Thrive Counseling LLC PastSince May 26, 2026 Accepting new patients
Thrive Counseling LLC PastSince May 26, 2026 Accepting new patients

Locations

398 W Bagley Rd
Ste 13
Berea, OH 44017
Phone (440) 970-3790

4565 Dressler Rd NW
Ste 112
Canton, OH 44718
Phone (330) 765-5160

7547 Mentor Ave
Ste 300
Mentor, OH 44060
Phone (440) 701-6170

7547 Mentor Ave
#300
Mentor, OH 44060

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thrivecounselingwarren/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1134811797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329363",
            "telephone_number": "330-424-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329363",
            "telephone_number": "330-424-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2607125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.