Active NPI
Matthew John Fetty, RBT
- Community Health Worker
- Warren, OH
National Provider Identifier
1770300808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 850 Howland Wilson Rd NE
Warren, OH 44484-2116 - Phone
- (216) 260-1405
- Fax
- (330) 632-8823
- NPI assigned
- Sep 20, 2024
- Last updated
- Jul 28, 2025
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Behavior Technician | 106S00000X | RBT-24-322945 | OH |
Addresses
Primary practice location
850 Howland Wilson Rd NE
Warren, OH 44484-2116
Mailing address
2359 Knollwood Ave
Youngstown, OH 44514-1525
Phone (216) 260-1405
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 |
|---|---|---|---|
| RBT-24-322945 | OH | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Strength-Based Services | Community Health Worker | Current | Accepting new patients |
| Absolute Behavior Health Care LLC | Past | Accepting new patients | |
| Knapp Center for Childhood Development | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Columbiana, OH
- NPI 1285323667
Community Health Worker
-
- Developmental Disabilities Clinic/Center
- Youngstown, OH
- NPI 1043880636
-
- Community/Behavioral Health Agency
- Youngstown, OH
- NPI 1699052191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1770300808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2359 KNOLLWOOD AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445141525",
"telephone_number": "216-260-1405",
"fax_number": "330-632-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HOWLAND WILSON RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444842116",
"telephone_number": "216-260-1405",
"fax_number": "330-632-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTY",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-24-322945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.