Individual provider Active NPI

Gilles R Marchal, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1174685903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC #1035 Issued in NM
Practice address
3214 Purdue PL NE
Albuquerque, NM 87106-2124
Phone
(505) 343-1986
Fax
(505) 266-1440
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Mental Health Counselor 101YM0800X LPCC #1035 NM Primary

Addresses

Primary practice location

3214 Purdue PL NE
Albuquerque, NM 87106-2124

Mailing address

2128 Manchester PL NW
Albuquerque, NM 87107-3091
Phone (505) 343-1986

Other identifiers 1

IdentifierTypeStateIssuer
000-71337MedicaidNM

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

State licenses

LicenseStateTypeSpecialty
LPCC #1035NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174685903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MANCHESTER PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073091",
            "telephone_number": "505-343-1986",
            "fax_number": "505-266-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 PURDUE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062124",
            "telephone_number": "505-343-1986",
            "fax_number": "505-266-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAL",
        "first_name": "GILLES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPCC #1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-71337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

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.