Individual provider Active NPI

Kyle Guterba, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austintown, OH
National Provider Identifier
1093239717
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.021111 Issued in OH
Practice address
25 N Canfield Niles Rd Ste 110
Austintown, OH 44515-2332
Phone
(330) 798-0491
Fax
(330) 303-4948
NPI assigned
Aug 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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.021111 OH Primary

Addresses

Primary practice location

25 N Canfield Niles Rd Ste 110
Austintown, OH 44515-2332

Mailing address

1207 W State St Ste G
Alliance, OH 44601-4686
Phone (330) 798-0491

Other practice location 1

3768 Boardman Canfield Rd # 5
Canfield, OH 44406-8502
Phone (330) 798-0491

Other practice location 2

400 Niles Cortland Rd SE Ste B
Warren, OH 44484-5719
Phone (330) 798-0491

Other practice location 3

1207 W State St Ste H
Alliance, OH 44601-4686
Phone (330) 798-0491

Other identifiers 1

IdentifierTypeStateIssuer
0243652MedicaidOH

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
I20171012001893 OH Practitioner - Nurse Practitioner 6800161175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natura Behavioral Health LLCGroup PAC ID 7810350105, 16 clinicians

Practice addresses (Care Compare)

1207 W State St
Suite H
Alliance, OH 44601-4686
Phone (330) 798-0491

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021111OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc CurrentSince May 13, 2024 Accepting new patients
Natura Behavioral Health LLC CurrentSince Feb 8, 2025 Accepting new patients
Axess Family Services Inc CurrentSince May 13, 2024 Accepting new patients
Family & Community Services Inc CurrentSince May 13, 2024 Accepting new patients
Family & Community Services, Inc CurrentSince May 13, 2024 Accepting new patients
Comprehensive Behavioral Health Associates, Inc. CurrentSince Sep 11, 2017 Accepting new patients
Axess Family Services Inc Current Accepting new patients

Locations

1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471

1207 W State St
Ste H
Alliance, OH 44601
Phone (330) 206-1290

1207 W State St
Ste G
Alliance, OH 44601
Phone (330) 798-0491

25 N Canfield Niles Rd
Ste 110
Austintown, OH 44515
Phone (330) 792-2577

390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697

3768 Boardman Canfield Rd
Ste 5
Canfield, OH 44406
Phone (330) 798-0491

143 Gougler Ave
Kent, OH 44240
Phone (330) 673-1016

400 Niles Cortland Rd SE
Ste B
Warren, OH 44484
Phone (330) 798-0491

150 E Market St
Warren, OH 44481
Phone (330) 394-6244

318 Mahoning Ave NW
Warren, OH 44483
Phone (330) 394-6342

104 Javit Ct
Youngstown, OH 44515
Phone (330) 207-1754

5500 Market St
Ste 110
Youngstown, OH 44512
Phone (330) 677-4124

4970 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8237

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1093239717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W STATE ST STE G",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014686",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 110",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152332",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3768 Boardman Canfield Rd # 5",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444068502",
            "country_code": "US",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Niles Cortland Rd SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444845719",
            "country_code": "US",
            "telephone_number": "330-798-0491",
            "fax_number": "502-237-6855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 W State St Ste H",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014686",
            "country_code": "US",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTERBA",
        "first_name": "KYLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.021111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.