Active NPI
Christopher Todd Brisbin, LPCC
- Professional Counselor
- Akron, OH
National Provider Identifier
1497123822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1000551
- Practice address
- 900 Mull Ave
Akron, OH 44313-7502 - Phone
- (330) 867-5603
- Fax
- (330) 873-3439
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 131176 | OH | |
| Professional Counselor | 101YP2500X | E1000551 | OH | Primary |
Addresses
Primary practice location
900 Mull Ave
Akron, OH 44313-7502
Mailing address
900 Mull Ave
Akron, OH 44313-7502
Phone (330) 867-5603
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 |
|---|---|---|---|
| 131176 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E1000551 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1497123822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MULL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443137502",
"telephone_number": "330-867-5603",
"fax_number": "330-873-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MULL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443137502",
"telephone_number": "330-867-5603",
"fax_number": "330-873-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISBIN",
"first_name": "CHRISTOPHER",
"middle_name": "TODD",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "131176",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1000551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.