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BRETT RYAN CLEVIDENCE CDCA
NPI 1295337491
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since November 12, 2020
1341 MARKET AVE N, CANTON, OH 44714(330) 453-8252(330) 452-4655 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 22, 2021, Nov 12, 2020 (2 updates tracked since 2020).

About Brett Ryan Clevidence Cdca NPPES

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

BRETT RYAN CLEVIDENCE CDCA (NPI 1295337491) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (CDCA174529) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1295337491
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRETT RYAN CLEVIDENCECredential: CDCA
Location Address1341 MARKET AVE NCanton, OH 44714-2605
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Phone(330) 453-8252
Fax(330) 452-4655
Sole ProprietorNo
Enumeration DateNovember 12, 2020
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1295337491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA174529
1341 MARKET AVE N, Canton, OH 44714
Open in Google Maps ↗

Other Identifiers 1

Medicaid0423863OH

Other Providers at the Same Location NPPES 20

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

JOSEPH N LOCKETT LICDC
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
AMY NELSON CT, CDCA
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
HILLARY A WHITEMAN
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
OBIAGERI EBERE NGWAOGU CT
Counselor
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
JESSICA AUSTIN LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
MRS. DYAN MARIE TUCCI LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
DENISE A TRIPP LPC
Counselor (Mental Health)
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
CHELSIE MARIE GRESSER RN
Registered Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252

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 Brett Clevidence's NPI number?

The NPI number for Brett Clevidence is 1295337491. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Brett Clevidence located?

Brett Clevidence practices at 1341 Market Ave N, Canton, OH 44714. The listed phone number is (330) 453-8252.

What is Brett Clevidence's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brett Clevidence was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.