Deann Gossard LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

DEANN GOSSARD LLC

Practice address

2592 Woodville Rd
Northwood, OH 43619-1444

Phone

(419) 315-6422

Fax

(833) 381-0977

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Deann Gossard, LPCC, LICDC

Title

Owner

Phone

(419) 277-5816

Specialties & licenses 2

Addresses

Other names 1

• Fuse Trauma Recovery Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Raenel Glassford

  • Social Worker
  • Toledo, OH
  • NPI 1548821804
  NPD (past)
• Riann Tippett, LISW

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1104333186
  NPD (past)

Locations

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1265048532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 WOODVILLE RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191444",
            "telephone_number": "419-315-6422",
            "fax_number": "833-381-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 WOODVILLE RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191444",
            "telephone_number": "419-315-6422",
            "fax_number": "833-381-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANN GOSSARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "GOSSARD",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-277-5816",
        "authorized_official_credential": "LPCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuse Trauma Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peyton Bloomer, OTD R/L
• Edith Carr
• City of Northwood
• Collins & Parker, Inc.
• Michael Jay Crawford, O.D.
• Deann Gossard LLC
• Louis Andrew Demeter, DDS
• Averia Dunbar
• Dva Healthcare Renal Care Inc
• Claire Catherine Eichler

• All providers in Northwood, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.