Individual provider Active NPI

Maevon Elliot Gumble, MMT, MT-BC, LPC

  • Mental Health Counselor
  • Winchester, VA
National Provider Identifier
1033727128
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PCO16736 Issued in PA
Practice address
2045 S Pleasant Valley Rd # 1075
Winchester, VA 22601-7001
Phone
(412) 223-7067
NPI assigned
Jul 15, 2020
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 12781
Mental Health Counselor 101YM0800X PCO16736 PA Primary

Addresses

Primary practice location

2045 S Pleasant Valley Rd # 1075
Winchester, VA 22601-7001

Mailing address

2045 S Pleasant Valley Rd # 1075
Winchester, VA 22601-7001
Phone (412) 223-7067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PCO16736PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1033727128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S PLEASANT VALLEY RD # 1075",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017001",
            "telephone_number": "412-223-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S PLEASANT VALLEY RD # 1075",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017001",
            "telephone_number": "412-223-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBLE",
        "first_name": "MAEVON",
        "middle_name": "ELLIOT",
        "credential": "MMT, MT-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2020-07-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "12781",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PCO16736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.