Organization Active NPI

Susan Gentz Gillespie, LMFT

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1093074684
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMFT000140 Issued in DC
Legal business name
SUSAN GENTZ GILLESPIE, LMFT
Practice address
1250 Connecticut Ave NW
Suite 200
Washington, DC 20036-2603
Phone
(415) 609-8205
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Ms. Susan Gentz Gillespie, LMFTNPI 1235420811
Title
Proprietor
Phone
(415) 609-8205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMFT000140 DC Primary
Community/Behavioral Health Agency 251S00000X MFT 38572 CA

Addresses

Primary practice location

1250 Connecticut Ave NW
Suite 200
Washington, DC 20036-2603

Mailing address

1250 Connecticut Ave NW
Suite 200
Washington, DC 20036-2603
Phone (415) 609-8205

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1093074684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CONNECTICUT AVE NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362603",
            "telephone_number": "415-609-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CONNECTICUT AVE NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362603",
            "telephone_number": "415-609-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN GENTZ GILLESPIE, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GENTZ",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "415-609-8205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LMFT000140",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT 38572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.