Active NPI
Brian Strawn, CDCA-PRE, CT
- Mental Health Counselor
- Massillon, OH
National Provider Identifier
1588042352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1901129
- Practice address
- 410 Marlyn Pkwy NE
Massillon, OH 44646-4862 - Phone
- (330) 575-5300
- NPI assigned
- May 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150330 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1500090 | OH | |
| Mental Health Counselor | 101YM0800X | E.1901129 | OH | Primary |
Addresses
Primary practice location
410 Marlyn Pkwy NE
Massillon, OH 44646-4862
Mailing address
410 Marlyn Pkwy NE
Massillon, OH 44646-4862
Phone (330) 575-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901131 | Medicaid | OH |
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 |
|---|---|---|---|
| 1500090 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 150330 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.1901129 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Tree Recovery Center | Current | Accepting new patients |
Organizations & group practices 1
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)
- Massillon, OH
- NPI 1023602364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1588042352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MARLYN PKWY NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464862",
"telephone_number": "330-575-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MARLYN PKWY NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464862",
"telephone_number": "330-575-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAWN",
"first_name": "BRIAN",
"credential": "CDCA-PRE, CT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2025-07-08",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "150330",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "1500090",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1901129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2901131",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.