Octasia Nikkole Gainer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008516 Issued in VA

Practice address

121 Hicks Ave
Norfolk, VA 23502-4612

Phone

(757) 768-8740

NPI assigned

Apr 17, 2020

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

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1104446350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HICKS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024612",
            "telephone_number": "757-768-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HICKS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024612",
            "telephone_number": "757-768-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINER",
        "first_name": "OCTASIA",
        "middle_name": "NIKKOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Mary Gadek
• Lara E Gagliardi, DO
• Stephanie Theresa Gagnon, LCSW
• Rajaat Gahlon, M.D.
• Gail D. Steckler, D.O., P.C.
• Beulah Monique Gaines
• Gait Center Hampton Roads
• David Gakhokidze, MD
• Maia Gakhokidze, M.D.
• Miriam Galan-Dejesus, NP

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.