Individual provider Active NPI

Brian Strawn, CDCA-PRE, CT

  • Mental Health Counselor
  • Massillon, OH
National Provider Identifier
1588042352
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901129 Issued in OH
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2901131MedicaidOH

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
1500090OHMDAddiction (Substance Use Disorder) Counselor
150330OHMDAddiction (Substance Use Disorder) Counselor
E.1901129OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Tree Recovery Center CurrentSince Jul 22, 2025 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.

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.

Verify at the official NPI Registry.