Individual provider Active NPI

Lauren E Gusman, LPCC

  • Professional Counselor
  • Fairborn, OH
National Provider Identifier
1376921015
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1800616 Issued in OH
Practice address
1016 Rainbow CT
Fairborn, OH 45324-6365
Phone
(937) 641-3401
Fax
(937) 641-3046
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E1800616 OH Primary

Addresses

Primary practice location

1016 Rainbow CT
Fairborn, OH 45324-6365

Mailing address

PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072

Other practice location 1

410 Valley St
Dayton, OH 45404-1843
Phone (937) 641-3401

Other identifiers 1

IdentifierTypeStateIssuer
0268607MedicaidOH

Other names 1

  • Lauren Han Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1300668OHMDMental Health Counselor
E1800616OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Sep 9, 2024 Accepting new patients
TCN Behavioral Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

1801 Watermark Dr
Ste 200
Columbus, OH 43215

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

3085 Woodman Dr
Ste 300
Kettering, OH 45420

11156 Canal Rd
Ste A
Sharonville, OH 45241
Phone (513) 772-6166

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1376921015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933421",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-5072",
            "fax_number": "937-641-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 RAINBOW CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246365",
            "telephone_number": "937-641-3401",
            "fax_number": "937-641-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Valley St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041843",
            "country_code": "US",
            "telephone_number": "937-641-3401",
            "fax_number": "937-641-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSMAN",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1800616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.