Individual provider Active NPI

Victoria Ann Gutbrod, LPCC

  • Mental Health Counselor
  • Fairlawn, OH
National Provider Identifier
1740339977
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0004392 Issued in OH
Practice address
2680 W Market St
Fairlawn, OH 44333-4215
Phone
(234) 867-5001
NPI assigned
Jan 9, 2007
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0004392 OH
Mental Health Counselor 101YM0800X E0004392 OH Primary

Addresses

Primary practice location

2680 W Market St
Fairlawn, OH 44333-4215

Mailing address

2680 W Market St
Fairlawn, OH 44333-4215
Phone (234) 867-5001

Other identifiers 3

IdentifierTypeStateIssuer
2651189MedicaidOH
000000498082OtherOHANTHEM
831899000OtherOHMAGELLAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240829001749 OH Practitioner - Mental Health Counselor 0840735833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DGS Ministries LLCGroup PAC ID 9638614555, 4 clinicians

Practice addresses (Care Compare)

2680 W Market St
Fairlawn, OH 44333-4215
Phone (234) 867-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0004392OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DGS Ministries, LLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

252 N Chillicothe Rd
Aurora, OH 44202

2680 W Market St
Fairlawn, OH 44333
Phone (234) 867-5001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1740339977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTBROD",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004392",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000498082",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "831899000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.