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GREGORY SOUTHARD IMFT-S, LPCC-S
NPI 1588183453
Marriage & Family Therapist in Canton, OH

Active since September 12, 2017PECOS Enrolled
4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, May 10, 2022, Jun 6, 2020 and 2 more (5 updates tracked since 2017).

About Gregory Southard Imft-s, Lpcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY SOUTHARD IMFT-S, LPCC-S (NPI 1588183453) is an individual marriage & family therapist in Canton, Ohio, licensed in Ohio (F.2100158-SUPV) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1588183453
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGREGORY SOUTHARDCredential: IMFT-S, LPCC-S
Location Address4522 FULTON DR NWCanton, OH 44718-2332
Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907 · Fax (330) 915-2958
Phone(330) 915-2907
Fax(330) 915-2958
Sole ProprietorYes
Enumeration DateSeptember 12, 2017
Last NPPES UpdateApril 29, 20265 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1588183453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in OH · F.2100158-SUPV✔ Licensed in OH · M1900095
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.2001739 (OH)
4522 FULTON DR NW, Canton, OH 44718
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Secondary Practice Locations 5

Location 1524 W Park AveBarberton, OH 44203-2580 · Phone (330) 753-1096
Location 218 N Forge StAkron, OH 44304-1317 · Phone (330) 762-0591 · Fax (330) 762-2242
Location 3960 Graham Rd. Unit 3Cuyahoga Falls, OH 44221 · Phone (330) 606-9262
Location 44200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958
Location 55611 Hudson Dr Ste 400Hudson, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Identifiers 1

Medicaid0284116OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Southard Imft-s, Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Southard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Grove, LLC
Same address
Mental Health
4522 FULTON DR NW
Canton, OH 44718
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1043899859 (330) 915-2907
Signature Health, Inc.
41 mi
Mental Health
5410 TRANSPORTATION BLVD, UNIT 4
Garfield Heights, OH 44125
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1679767289 (216) 663-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS GIBBS LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
KILEE SHAWD-SOPKO CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ZAKREE BUCCITELLI LPC
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
SARAH MOYER CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
NICKALAUS PRYOR CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
SAMANTHA MARIE BURGOS CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ALANNA SUDBERRY LSW
Social Worker
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ASHLEY KAMINSKI LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Southard's NPI number?

The NPI number for Gregory Southard is 1588183453. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Gregory Southard located?

Gregory Southard practices at 4522 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 915-2907.

What is Gregory Southard's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Gregory Southard enrolled in Medicare?

Yes. Gregory Southard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Southard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Southard reassigns Medicare benefits to 2 organizations: Wellness Grove, LLC (Canton, OH) and Signature Health, Inc. (Garfield Heights, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Southard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Southard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Gregory Southard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Southard was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.