Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000482-1 Issued in NY

Practice address

6350 Pleasantview St
Middle Village, NY 11379-1844

Phone

(917) 604-5592

Fax

(718) 326-0995

NPI assigned

Apr 28, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Mary Louise Gabriel, LMHC

  • Mental Health Counselor
  • Middle Village, NY
  • NPI 1659755213
  NPD (past) Authorized official

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1063770998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 PLEASANTVIEW ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791844",
            "telephone_number": "917-604-5592",
            "fax_number": "718-326-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 PLEASANTVIEW ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791844",
            "telephone_number": "917-604-5592",
            "fax_number": "718-326-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "MARY LOUISE",
        "middle_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "LMHC, SCHOOL PSYCHOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "CONTROL # 96572001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Francis Formica, MD
• Kerry Edward Fox, SPECIAL EDUCATOR
• Francis J Anello P C
• John Frazier, D.M.D.
• Justine Barbara Freitas, MA BILCCC-SLP, TSSLD
• Gabrielml Mental Health Counseling PC
• Michael Galoyan
• Vruyr Galstyan, PA
• Mitchell Geizhals, M.D.
• Gennadiy Kvetny Physician, PC

• Mental Health Counselor in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.