Active NPI
Adrian Waldron
- Professional Counselor
- Boardman, OH
National Provider Identifier
1477302545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2506992
- Practice address
- 997 Boardman Canfield Rd
Boardman, OH 44512-4223 - Phone
- (330) 758-0101
- Fax
- (330) 758-0128
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2506992 | OH | Primary |
Addresses
Primary practice location
997 Boardman Canfield Rd
Boardman, OH 44512-4223
Mailing address
2980 Belmont Ave
Youngstown, OH 44505-1834
Phone (234) 228-8315
Other practice location 1
8577 E Market St
Warren, OH 44484-2345
Phone (330) 856-6663
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2506992 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psy-Care Inc | Past | Accepting new patients | |
| Psycare, Inc. | Professional | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1396705349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1477302545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051834",
"telephone_number": "234-228-8315",
"fax_number": "330-759-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124223",
"telephone_number": "330-758-0101",
"fax_number": "330-758-0128"
}
],
"practiceLocations": [
{
"address_1": "8577 E Market St",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444842345",
"country_code": "US",
"telephone_number": "330-856-6663",
"fax_number": "330-856-1581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDRON",
"first_name": "ADRIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2506992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.