Active NPI
Gabriel Valentine, LMHC-A
- Mental Health Counselor
- Kokomo, IN
National Provider Identifier
1063812899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88000099A
- Practice address
- 1613 South Elizabeth St
Apt 1B
Kokomo, IN 46902 - Phone
- (910) 899-0972
- NPI assigned
- Aug 28, 2014
- Last updated
- Nov 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88000099A | IN | Primary |
| Mental Health Counselor | 101YM0800X | XL4366 | ME |
Addresses
Primary practice location
1613 South Elizabeth St
Apt 1B
Kokomo, IN 46902
Mailing address
1613 South Elizabeth St
Apt 1B
Kokomo, IN 46902
Phone (910) 899-0972
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88000099A | IN | MD | Mental Health Counselor |
| XL4366 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1063812899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 SOUTH ELIZABETH ST",
"address_2": "APT 1B",
"city": "KOKOMO",
"state": "IN",
"postal_code": "46902",
"telephone_number": "910-899-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 SOUTH ELIZABETH ST",
"address_2": "APT 1B",
"city": "KOKOMO",
"state": "IN",
"postal_code": "46902",
"telephone_number": "910-899-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "GABRIEL",
"credential": "LMHC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88000099A",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.