Individual provider Active NPI

Leslie Frybarger

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1790310753
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030066 Issued in OH
Practice address
4368 Dressler Rd NW
Canton, OH 44718-2771
Phone
(330) 433-1300
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0030066 OH Primary

Addresses

Primary practice location

4368 Dressler Rd NW
Canton, OH 44718-2771

Mailing address

2685 Armstrong Rd
Wooster, OH 44691-9041

Other identifiers 2

IdentifierTypeStateIssuer
0398186MedicaidOH
APRN.CNP.0030066OtherOHOHIO ELICENSE OHIO PROFESSIONAL LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221000677 OH Practitioner - Nurse Practitioner 9739573510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

822 Kumho Dr
Fairlawn, OH 44333-9297
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030066OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare 2000 Community Clinic Inc CurrentSince Nov 14, 2024 Accepting new patients
Billings Clinic CurrentSince Jan 1, 2024 Accepting new patients
Christian Children'S Home of Ohio CurrentSince Jun 22, 2021 Accepting new patients
4Kidhelp Inc CurrentSince Nov 4, 2021 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Nov 14, 2024 Accepting new patients
Christian Children'S Home of Ohio CurrentSince Mar 1, 2020 Accepting new patients

Locations

4368 Dressler Rd NW
Ste 103
Canton, OH 44718
Phone (330) 433-1300

2685 Armstrong Rd
Wooster, OH 44691
Phone (330) 345-7949

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations & group practices 7

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1790310753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ARMSTRONG RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-433-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYBARGER",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398186",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO ELICENSE OHIO PROFESSIONAL LICENSURE",
            "identifier": "APRN.CNP.0030066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.