Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Grimes, CDCA, PRS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1942935275

Andre Grimes, CDCA, PRS is an Addiction (Substance Use Disorder) Counselor in Massillon, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1680 Nave Rd SE
Massillon, OH 44646-9604
Phone: (330) 830-8740
Fax: (330) 830-0912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.175238 (OH)
Peer Specialist Taxonomy 175T00000X · Licence PRS.008050 (OH)

Record details

NPI number1942935275
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PRS
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address625 Cleveland Ave Nw, Canton, OH 44702-1805

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