Deann Gossard, LPCC
Individual provider Active NPI Professional Counselor · Northwood, OH
NPI 1275923658 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1275923658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.1700119 (OH)
- Practice address
- 2592 Woodville Rd
Northwood, OH 43619-1444 - Phone
- (419) 277-5816
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240209000470 | OH | Practitioner - Mental Health Counselor | 3870908908 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1700119 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deann Gossard LLC | Current |
Accepting new patients |
Locations
2592 Woodville Rd
Northwood, OH 43619
Phone (419) 277-5816
2735 N Holland Sylvania Rd
Ste A1
Toledo, OH 43615
Phone (419) 315-6422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1700119 | OH | |
| Professional Counselor | 101YP2500X | E.1700119-SUPV | OH | |
| Professional Counselor | 101YP2500X | E.1700119 | OH | Yes |
Addresses
Primary practice location
2592 Woodville Rd
Northwood, OH 43619-1444
Mailing address
12753 Lulu Rd
Ida, MI 48140-9524
Phone (419) 315-6422
Other providers in Northwood, OH
- First Care Ohio, LLC
- First Care Toledo LLC
- Donna M Frey
- Tamara Fuller
- Chelsea Rose Gfell
- Maria Isabel Gutierrez
- Jamie J Hall
- Harvey H Rosen & Michael J Crawford
- Alysa Marie Healy
- Rachel Lee Henke
All providers in Northwood, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.