Organization Active NPI

Young Christian Professionals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, OH
National Provider Identifier
1356268460
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUNG CHRISTIAN PROFESSIONALS
Practice address
120 Cleveland Ave SW
Canton, OH 44702-1904
Phone
(234) 214-3534
Fax
(800) 212-5879
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Nicole Dickson
Title
Credentialing Coordinator
Phone
(330) 605-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

120 Cleveland Ave SW
Canton, OH 44702-1904

Mailing address

120 Cleveland Ave SW
Canton, OH 44702-1904
Phone (234) 214-3534

National Provider Directory

National Provider Directory
Tax ID family
The Leadership Collective2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1356268460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021904",
            "telephone_number": "234-214-3534",
            "fax_number": "800-212-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021904",
            "telephone_number": "234-214-3534",
            "fax_number": "800-212-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHRISTIAN PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "330-605-5060"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 30, 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.