Individual provider Active NPI

Andrew Wade, LPC

  • Mental Health Counselor
  • Canton, OH
National Provider Identifier
1336973171
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2507559 Issued in OH
Practice address
645 Dueber Ave SW
Canton, OH 44706-1210
Phone
(724) 396-1510
Fax
(724) 972-4672
NPI assigned
Aug 26, 2024
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2507559 OH Primary

Addresses

Primary practice location

645 Dueber Ave SW
Canton, OH 44706-1210

Mailing address

101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510

Other practice location 1

1250 Edison St NW
Hartville, OH 44632-9045
Phone (724) 396-1510

Other practice location 2

6900 Market Ave N
Canton, OH 44721-2437
Phone (724) 396-1510

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

State licenses

LicenseStateTypeSpecialty
C.2507559OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Hoffman Past Accepting new patients
Richard Hoffman Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1336973171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 DUEBER AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447061210",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Edison St NW",
            "address_purpose": "LOCATION",
            "city": "Hartville",
            "state": "OH",
            "postal_code": "446329045",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Market Ave N",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447212437",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2507559",
            "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 Jul 20, 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.

Verify at the official NPI Registry.