Brian Keith Starcher, CT
Individual provider Active NPI Professional Counselor · Canton, OH
NPI 1245842012 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1245842012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.2404887 (OH)
- Practice address
- 624 Market Ave N
Canton, OH 44702-1017 - Phone
- (330) 493-4553
- Fax
- (330) 493-3761
- NPI assigned
- Aug 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rising Behavioral Healthcare and Recovery, Inc.
Practice addresses (Care Compare)
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241017002688 | OH | Practitioner - Mental Health Counselor | 6608308473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2002556TRNE | OH | MD | Counselor |
| E.2404887 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rising Behavioral Healthcare and Recovery Inc | Current | Accepting new patients | |
| Phoenix Rising Behavioral Healthcare and Recovery, Inc | Current |
Accepting new patients | |
| Wellness Grove, LLC | Counselor | Current |
Accepting new patients |
| Wellness Grove LLC | Mental Health | Past |
Accepting new patients |
Locations
624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066
4200 Munson St NW
Ste A
Canton, OH 44718
Phone (330) 915-2907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2103754 | OH | |
| Professional Counselor | 101YP2500X | E.2404887 | OH | Yes |
| Counselor | 101Y00000X | C2002556TRNE | OH |
Addresses
Primary practice location
624 Market Ave N
Canton, OH 44702-1017
Mailing address
4200 Munson St NW
Suite a
Canton, OH 44718-1805
Phone (330) 915-2907
Other providers in Canton, OH
- Stanley Bertman, M.D., Inc
- Claire E. Stansbury
- Seth Stanton
- Kimberly Staples
- Star Pediatric Care
- Randall S Starcher
- Stark Ambulatory Surgery Center, LLC
- Stark Area Regional Transit Authority
- Stark Cardiothoracic Surgery, Inc
- Stark County Anesthesia, Inc.
All providers in Canton, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.