Individual provider Active NPI

Ann Marie Gebhardt, LPCC

  • Mental Health Counselor
  • Warren, OH
National Provider Identifier
1063847119
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1200170 Issued in OH
Practice address
8256 E Market St Ste 115
Warren, OH 44484-2300
Phone
(330) 469-2312
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1200170 OH Primary

Addresses

Primary practice location

8256 E Market St Ste 115
Warren, OH 44484-2300

Mailing address

8256 E Market St Ste 115
Warren, OH 44484-2300
Phone (330) 469-2312

Other identifiers 1

IdentifierTypeStateIssuer
12402MedicaidOH

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522001220 OH Practitioner - Mental Health Counselor 3779925755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8256 E Market St
Suite 117
Warren, OH 44484-2300
Phone (330) 469-2132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1200170OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gebhardt & Co LLC CurrentSince Mar 20, 2024 Accepting new patients
Thrive Counseling LLC Mental Health PastSince Aug 1, 2022 Accepting new patients
Thrive Counseling LLC Mental Health PastSince Aug 1, 2022 Accepting new patients

Locations

8256 E Market St
Ste 115
Warren, OH 44484
Phone (330) 469-2132

8256 E Market St
Ste 117
Warren, OH 44484
Phone (330) 469-2132

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1063847119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8256 E MARKET ST STE 115",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842300",
            "telephone_number": "330-469-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8256 E MARKET ST STE 115",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842300",
            "telephone_number": "330-469-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1200170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12402",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.