Active NPI
Chereen Gamal
- Mental Health Counselor
- Falls Church, VA
National Provider Identifier
1184288136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701008253
- Practice address
- 718 W Broad St
Falls Church, VA 22046-2204 - Phone
- (330) 327-3410
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701008253 | VA | |
| Mental Health Counselor | 101YM0800X | 0701008253 | VA | Primary |
Addresses
Primary practice location
718 W Broad St
Falls Church, VA 22046-2204
Mailing address
3009 Nicosh Cir Unit 4309
Falls Church, VA 22042-1240
Phone (703) 204-1764
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgamal@hotmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008253 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Tree Counseling and Wellness | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Falls Church, VA
- NPI 1376489740
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1184288136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 NICOSH CIR UNIT 4309",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421240",
"telephone_number": "703-204-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 W BROAD ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462204",
"telephone_number": "330-327-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMAL",
"first_name": "CHEREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "VA",
"license": "0701008253",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701008253",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgamal@hotmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3009 Nicosh Cir Unit 4309",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220421240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.