Individual provider Active NPI

Gail L Unterberger, PH.D.

  • Professional Counselor
  • Gaithersburg, MD
National Provider Identifier
1164561700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0562 Issued in MD
Practice address
107 Hutton St
Gaithersburg, MD 20877-2057
Phone
(301) 330-2611
Fax
(301) 330-2611
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC0562 MD Primary

Addresses

Primary practice location

107 Hutton St
Gaithersburg, MD 20877-2057

Mailing address

107 Hutton St
Gaithersburg, MD 20877-2057
Phone (301) 330-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC0562MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164561700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HUTTON ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772057",
            "telephone_number": "301-330-2611",
            "fax_number": "301-330-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HUTTON ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772057",
            "telephone_number": "301-330-2611",
            "fax_number": "301-330-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERBERGER",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.