Katrina Ann Watford Gamble, MA,NCC,LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6574 Issued in NC

Practice address

111 Lamon St Ste 212
Fayetteville, NC 28301-4957

Phone

(910) 429-2222

Fax

(910) 429-2222

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Katrina A Watford Gamble Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Services Associates, LLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1134320427
  NPD (past)
• New Beginnings Behavioral Health Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1083931513
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124175500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64986",
            "address_2": "204 RUNWAY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060986",
            "telephone_number": "910-429-2222",
            "fax_number": "910-429-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 212",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014957",
            "telephone_number": "910-429-2222",
            "fax_number": "910-429-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATFORD GAMBLE",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA,NCC,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "6574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "WATFORD GAMBLE",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "MA, NCC,LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stacy Washington, RN
• Tashayla Washington, LCAS-A, LCSW-A
• Thomas Washington II, LCSWA
• Tonya Lakeshia Washington, CSFA
• Tara Stallings Waters
• Amber Michelle Watkins
• Jessie Watkins
• Larry Watkins
• Latoya K Watkins, D.O.
• Riviera Aviana Watkins

• Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.