Gabriela Lule-Juarez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L8553 Issued in OR

Practice address

9860 SW Hall Blvd Ste C3
Tigard, OR 97223-8896

Phone

(503) 810-5105

NPI assigned

Oct 12, 2012

Last updated

Feb 23, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adelante Mujeres

  • Clinical Social Worker
  • Forest Grove, OR
  • NPI 1285340745
  NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1063764157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 SE REDWOOD AVE APT 1",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972671456",
            "telephone_number": "503-810-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 SW HALL BLVD STE C3",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238896",
            "telephone_number": "503-810-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULE-JUAREZ",
        "first_name": "GABRIELA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L8553",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabrielalule@medellatherapy.com",
            "affiliation": "N",
            "address_1": "9860 SW Hall Blvd Ste C3",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972238896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Isabel Lubben, M.A.
• Larry C Lubcke, D.C., D.A.B.C.O.
• Tanya M Lubkin, DO
• Hang Khanh Luc, RDH
• Lukedorf
• Lisa Rose Lundin, RPH
• Naila Lundstrom, LCSW
• Corrigan Ann Luther, BCBA, LBA
• Luxottica of America Inc (Oakley B054)
• Luxottica of America Inc (Lenscrafters #F135)

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.