Active NPI
Gabriella Leal, LPC, LCDC, NCC
- Professional Counselor
- New York, NY
National Provider Identifier
1063893709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76087
- Practice address
- 60 Madison Ave FL 2
New York, NY 10010-1600 - Phone
- (855) 629-0554
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12726 | TX | |
| Professional Counselor | 101YP2500X | 76087 | TX | Primary |
Addresses
Primary practice location
60 Madison Ave FL 2
New York, NY 10010-1600
Mailing address
60 Madison Ave FL 2
New York, NY 10010-1600
Phone (855) 629-0554
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 |
|---|---|---|---|
| 12726 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 76087 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1063893709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "855-629-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "855-629-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "GABRIELLA",
"credential": "LPC, LCDC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12726",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.