NPIMap

Organization Active NPI

Mona Gobrail Counseling Services

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1104170984
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1483 Issued in MD
Legal business name
MONA GOBRAIL COUNSELING SERVICES
Practice address
9002 Phillip Dorsey Way
Columbia, MD 21045-5149
Phone
(301) 437-0296
Fax
(410) 772-8496
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mrs. Mona Baki Gobrail I, LCPCNPI 1912019175
Title
Therapist
Phone
(301) 437-0206

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LC1483 MD Primary

Addresses

Primary practice location

9002 Phillip Dorsey Way
Columbia, MD 21045-5149

Mailing address

9002 Phillip Dorsey Way
Columbia, MD 21045-5149
Phone (301) 437-0296

Other identifiers 1

IdentifierTypeStateIssuer
403444900MedicaidMD

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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1104170984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 PHILLIP DORSEY WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455149",
            "telephone_number": "301-437-0296",
            "fax_number": "410-772-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 PHILLIP DORSEY WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455149",
            "telephone_number": "301-437-0296",
            "fax_number": "410-772-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA GOBRAIL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GOBRAIL",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "BAKI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-437-0206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403444900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.