Rebecca Gervasi

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFTI72156 Issued in CA

Practice address

1722 S Lewis Rd
Camarillo, CA 93012-8520

Phone

(805) 709-6884

NPI assigned

Apr 5, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1063876134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-709-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASI",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFTI72156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Rebecca George
• Afrouz S. Gerayli, MD
• Michael Karl Gerbovaz, D.D.S.
• Megan Gerde
• Sheila Anita Geronimo
• Vincent B Gest, CP, BOCO
• Erin Nicole Ghaffari, RD
• Michele Ghassemlou, D.D.S.
• Mallory Rachelle Giacopuzzi
• Catherine Giacopuzzirotz

• Mental Health Counselor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.