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STARK RECOVERY ASSOCIATES
NPI 1194396689
Clinic/Center in Canton, OH

Active since July 06, 2021CLIA 36D2280187 · Waiver
3801 WHIPPLE AVE NW STE 1, CANTON, OH 44718(216) 413-0413 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stark Recovery Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARK RECOVERY ASSOCIATES (NPI 1194396689) is a healthcare organization registered as a clinic/center in Canton, Ohio and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Carla Hart-tyner, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1194396689
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTARK RECOVERY ASSOCIATES
Location Address3801 WHIPPLE AVE NW STE 1Canton, OH 44718-4802
Mailing Address3801 Whipple Ave Nw Ste 1Canton, OH 44718-4802 · (216) 413-0413
Phone(216) 413-0413
Organization SubpartNo
Authorized OfficialCarla Hart-tynerOwner/nurse Practitioner · (216) 413-0413
Enumeration DateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
✔ NPI 1194396689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3801 WHIPPLE AVE NW STE 1, Canton, OH 44718
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2280187

Stark Recovery Associates · Canton, OH
Active · expires Apr 13, 2027
CLIA Number36D2280187
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorCarla Hart-Tyner
Laboratory Phone(216) 413-0413
Laboratory LocationStark Recovery Associates3801 Whipple Ave NW, Ste 1, Canton, OH 44718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATASHA WESTFALL
Case Manager/Care Coordinator
3801 WHIPPLE AVE NW STE 1
CANTON, OH 44718
Stark County (234) 215-2782
CARLA VALERIE HART-TYNER NP-C, PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
3801 WHIPPLE AVE NW STE 1
CANTON, OH 44718
Stark County (216) 413-0413
ROBIN MAYLE LPN
Licensed Practical Nurse
3801 WHIPPLE AVE NW STE 1
CANTON, OH 44718
Stark County (330) 413-3681
STARK RECOVERY ASSOCIATES, LLC
Community/Behavioral Health
3801 WHIPPLE AVE NW STE 1
CANTON, OH 44718
Stark County (216) 413-0413
MR. KEVIN MICHAEL SIMPSON LCDC II
Counselor (Addiction (Substance Use Disorder))
3801 WHIPPLE AVE NW STE 1
CANTON, OH 44718
Stark County (216) 413-0413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stark Recovery Associates's NPI number?

The NPI number for Stark Recovery Associates is 1194396689. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is Stark Recovery Associates located?

Stark Recovery Associates is located at 3801 Whipple Ave NW Ste 1, Canton, OH 44718. The listed phone number is (216) 413-0413.

What is Stark Recovery Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Stark Recovery Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2280187) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stark Recovery Associates was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.