Gina Marie Gheller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30588 Issued in TX

Practice address

5909 West Loop S
Suite 600
Bellaire, TX 77401-2402

Phone

(281) 813-8330

Fax

(713) 463-7181

NPI assigned

Jan 8, 2007

Last updated

Dec 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Gina Marie Coon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1093863706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP SOUTH",
            "address_2": "SUITE 600",
            "city": "BELLAIR",
            "state": "TX",
            "postal_code": "774012417",
            "telephone_number": "281-813-8330",
            "fax_number": "713-463-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S",
            "address_2": "SUITE 600",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012402",
            "telephone_number": "281-813-8330",
            "fax_number": "713-463-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHELLER",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103756601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "COON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis Clinic & Research PLLC
• Bernard M Gerber, M.D.
• Howard B Gerber, M.D.
• Edvard Gharibian Gharghi
• Ali Ghazavi, ANP
• Giancarlo G. Romero, DDS, Ms PA (Houston Dental Implant Center)
• Jacqueline Frois Gibson, FNP-C
• Shulunda Kinta' Gibson, M.A., CCC-SLP
• Christopher Gideon
• Giles Counseling and Psychotherapy

• Clinical Social Worker in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.