Gregory Southard, IMFT-S, LPCC-S - Medicare Couples Therapy in Canton, OH

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Gregory Southard, IMFT-S, LPCC-S is a medicare enrolled "Marriage & Family Therapist" provider in Canton, Ohio. His current practice location is 4522 Fulton Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 915-2907.

Gregory Southard is licensed to practice in Ohio (license number F.2100158-SUPV) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588183453.

Contact Information

Gregory Southard, IMFT-S, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332
(330) 915-2907
(330) 915-2958

Map and Direction


Healthcare Provider's Profile

Full NameGregory Southard
GenderMale
SpecialityMarriage & Family Therapist
Location4522 Fulton Dr Nw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588183453
  • Provider Enumeration Date: 09/12/2017
  • Last Update Date: 04/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0244681369
  • Enrollment ID: I20240112001455

Medical Identifiers

Medical identifiers for Gregory Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588183453NPI-NPPES
0284116MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist F.2100158-SUPV (Ohio)Primary
106H00000XMarriage & Family Therapist M1900095 (Ohio)Secondary
101YM0800XCounselor - Mental Health E.2001739 (Ohio)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gregory Southard allows following entities to bill medicare on his behalf.
Entity NameSignature Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Southard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gregory Southard, IMFT-S, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332

Ph: (330) 915-2907		Gregory Southard, IMFT-S, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332

Ph: (330) 915-2907

Reviews and Comments


Marriage & Family Therapist in Canton, OH

Alyssa Marie Karoleski, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702
Phone: 330-445-2677    Fax: 330-455-2101
Jasmine Spradley,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702
Phone: 330-455-0374    Fax: 330-455-2101
Deborah Park, IMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 527 30th St Nw, Canton, OH 44709
Phone: 330-313-1213    
Emily A Gross, LPC
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 401 Tuscarawas St W, Canton, OH 44702
Phone: 440-260-8300    
Ericka Karazsia, MFTT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718
Phone: 330-915-2907    Fax: 330-915-2907
Kaelyn Rae Sanford,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 624 Market Ave N, Canton, OH 44702
Phone: 330-453-4553    Fax: 330-493-3761
Jordyn Sedaker,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 624 Market Ave N, Canton, OH 44702
Phone: 330-493-4553    Fax: 330-493-3761

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.