Mary Beth Brutz, MSW/LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0005770-SUPV Issued in OH

Practice address

143 Gougler Ave Gougler Avenue
Kent, OH 44240-2345

Phone

(330) 677-4724

NPI assigned

Jan 5, 2006

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
  • NPI 1548214935
  Medicare reassignment NPD
• Family & Community Services Inc

  dba Valley Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
  • NPI 1750607057
  Medicare reassignment NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Barberton, OH
  • NPI 1356604680
  NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenna, OH
  • NPI 1437944923
  NPD
• Family & Community Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kent, OH
  • NPI 1952662108
  NPD
• Comprehensive Psychiatry Specialists

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1780646810
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1326026808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GOUGLER AVE GOUGLER AVENUE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402345",
            "telephone_number": "330-677-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8577 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842345",
            "country_code": "US",
            "telephone_number": "330-856-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUTZ",
        "first_name": "MARY BETH",
        "credential": "MSW/LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005770-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iyisha Brown
• Jacob Brown
• Valerie Browning
• Timothy Morris Brubaker
• Laura Beth Brumfield, LPN
• Rhiannon Bruzda
• Buckeye Commons Care & Rehabilitation LLC (Buckeye Commons Care & Rehabilitation)
• Elizabeth S Bujack, DDS MSD
• Amber Aleesha Bulgrin
• Taryn R. Burhanna, NP-C

• Clinical Social Worker in Kent, OH
• Providers in Kent, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.