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AUTUMN GUNDRUM
NPI 1700641404
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Active since February 21, 2024
680 PARK AVE W, MANSFIELD, OH 44906(419) 528-5993(567) 560-5483 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2026, Sep 4, 2025 (2 updates tracked since 2025).

About Autumn Gundrum NPPES

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

AUTUMN GUNDRUM (NPI 1700641404) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in Ohio (CDCA.193597) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1700641404
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAUTUMN GUNDRUM
Location Address680 PARK AVE WMansfield, OH 44906-3706
Mailing Address680 Park Ave WMansfield, OH 44906-3706 · (419) 528-5993
Phone(419) 528-5993
Fax(567) 560-5483
Sole ProprietorNo
Enumeration DateFebruary 21, 2024
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1700641404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.193597
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
680 PARK AVE W, Mansfield, OH 44906
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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.

HEALING HEARTS COUNSELING CENTER, LLC
Community/Behavioral Health
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ELIZABETH A DEAN CDCA
Counselor (Addiction (Substance Use Disorder))
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
EMILY KELLER
Case Manager/Care Coordinator
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ANDREW BAILEY CT
Counselor (Professional)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
KRISTEN HORNER ROBERTS
Case Manager/Care Coordinator
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
RYAN PATRICK HORN MED, LPC
Counselor (Professional)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ALEXIS WITTE LISW-S
Social Worker (Clinical)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
HEATHER SHERIDAN WILDS CMS
Counselor (Addiction (Substance Use Disorder))
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993

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 Autumn Gundrum's NPI number?

The NPI number for Autumn Gundrum is 1700641404. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Autumn Gundrum located?

Autumn Gundrum practices at 680 Park Ave W, Mansfield, OH 44906. The listed phone number is (419) 528-5993.

What is Autumn Gundrum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Autumn Gundrum was last updated on February 12, 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.