GREGORY SOUTHARD (IMFT-S, LPCC-S) – Mental Health Counselor, NPI 1588183453
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GREGORY SOUTHARD (IMFT-S, LPCC-S)
4200 Munson St NW Ste A
Canton, OH 447182981
Phone: (330) 915-2907
Fax: (330) 915-2958
Type: Location
960 Graham Rd. Unit 3
Cuyahoga Falls, OH 44221
Phone: (330) 606-9262
Type: Location
5611 Hudson Dr Ste 400
Hudson, OH 442364452
Phone: (330) 915-2907
Fax: (330) 915-2958
Type: Location
524, West Park Avenue, Downtown Barberton, Barberton, Summit County, Ohio, 44203, United States
BARBERTON, OH 442032580
Phone:
Type: Mailing
18 N Forge St
Akron, OH 443041317
Phone: (330) 762-0591
Fax: (330) 762-2242
Type: Location
524 W Park Ave
Barberton, OH 442032580
Phone: (330) 753-1096
Type: Location
4522 FULTON DR NW
CANTON, OH 447182332
Phone: (330) 915-2907
Fax: (330) 915-2958
Type: Mailing
960 GRAHAM RD., UNIT 3
CUYAHOGA FALLS, OH 44221
Phone:
Type: Mailing
960 GRAHAM RD. UNIT 3
CUYAHOGA FALLS, OH 44221
Phone: (330) 606-9262
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240112001455 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44718)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.