Renee Gambol

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1891 Issued in OK

Practice address

1329 Beach Channel Drive
Far Rockaway, NY 11691

Phone

(718) 337-6850

NPI assigned

May 1, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Renee Gambol Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003037607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BAYVIEW AVE",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "11096",
            "telephone_number": "718-337-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 BEACH CHANNEL DRIVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-337-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOL",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "1891",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GAMBOL",
            "prefix": "MRS.",
            "credential": "LPC, MA, MDV. CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angelica Galeano
• Lada Galilova, D.O.
• Lauren Marie Galimi, LMSW
• Sanna Gamadia
• Lytesha Gamble
• Ronit Gamzeh, MSOT
• Mordecai Ganz, PA-C
• Debra Garbacz-Gross, OTR/L
• Eridania Dolores Garcia Garcia, LMSW
• Yolanda Garcia, LCSW

• Counselor in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.