Deann Gossard, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1700119 Issued in OH

Practice address

2592 Woodville Rd
Northwood, OH 43619-1444

Phone

(419) 277-5816

NPI assigned

Jan 23, 2015

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deann Gossard LLC

  dba Fuse Trauma Recovery

  • Mental Health Counselor
  • Northwood, OH
  • NPI 1558977686
  NPD Authorized official
• Deann Gossard LLC

  dba Fuse Trauma Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Northwood, OH
  • NPI 1265048532
  Authorized official Same address or phone
• Mind & Body Synergy Center

  • Professional Counselor
  • Bowling Green, OH
  • NPI 1790304780
  Authorized official Same address or phone

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1275923658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12753 LULU RD",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409524",
            "telephone_number": "419-315-6422"
        },
        {
            "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": "419-277-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSARD",
        "first_name": "DEANN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1700119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700119-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Care Ohio, LLC
• First Care Toledo LLC
• Donna M Frey
• Tamara Fuller, RN
• Chelsea Rose Gfell, PTA
• Maria Isabel Gutierrez, STNA
• Jamie J Hall
• Harvey H Rosen & Michael J Crawford
• Alysa Marie Healy
• Rachel Lee Henke, COTA

• Professional Counselor in Northwood, OH
• Providers in Northwood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.