Active NPI
Chrystal Lynn Gubanche
- Case Manager/Care Coordinator
- Lima, OH
National Provider Identifier
1164155453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 797 S Main St
Lima, OH 45804-1519 - Phone
- (567) 242-6112
- Fax
- (567) 289-5765
- NPI assigned
- Jul 5, 2022
- Last updated
- Dec 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180806 | OH | |
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
797 S Main St
Lima, OH 45804-1519
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 673-1347
Other practice location 1
2895 Harding Hwy Ste D
Lima, OH 45804-3464
Phone (419) 221-2821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180806 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1164155453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5982 RHODES RD",
"city": "KENT",
"state": "OH",
"postal_code": "442408100",
"telephone_number": "330-673-1347",
"fax_number": "330-673-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041519",
"telephone_number": "567-242-6112",
"fax_number": "567-289-5765"
}
],
"practiceLocations": [
{
"address_1": "2895 Harding Hwy Ste D",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458043464",
"country_code": "US",
"telephone_number": "419-221-2821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBANCHE",
"first_name": "CHRYSTAL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "180806",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
- Bridget Don Grothjan, RN
- Ruth Ann Grothouse, C-NP
- Tracy Gruning, CRNA
- Katelyn Marie Guagenti, FNP-C
- Guardian Elder Care at Lima I, LLC (Lost Creek Health Care and Rehabilitation Center)
- Jasmin Guerrero
- Michelle Dawn Guffey
- Christa Marie Guggenbiller, PA-C
- Guiding Light Wellness LLC
- Seth Jonathan Guillozet, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.