Individual provider Active NPI

Robert Curtis Gamble

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1194458653
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7420 Issued in SC
Practice address
702 Pettigru St
Greenville, SC 29601-3121
Phone
(864) 444-6744
NPI assigned
Jul 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7420 SC Primary

Addresses

Primary practice location

702 Pettigru St
Greenville, SC 29601-3121

Mailing address

514 Rosebud LN
Greer, SC 29650-3858
Phone (864) 444-6744

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://chtrmail.spectrum.net/?visitId=123ae043-364d-4d7f-b4f9-12e6ca7cdf5e 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

LicenseStateTypeSpecialty
7420SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1194458653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ROSEBUD LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296503858",
            "telephone_number": "864-444-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PETTIGRU ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013121",
            "telephone_number": "864-444-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "ROBERT",
        "middle_name": "CURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://chtrmail.spectrum.net/?visitId=123ae043-364d-4d7f-b4f9-12e6ca7cdf5e",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 Pettigru St",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296013121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.