Individual provider Active NPI

Karen Micheel Gabriel, MED, LMHC

  • Mental Health Counselor
  • Jacksonville Beach, FL
National Provider Identifier
1235204926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6579 Issued in FL
Practice address
4300 Marsh Landing Blvd
Jacksonville Beach, FL 32250-1416
Phone
(904) 280-0471
Fax
(904) 273-1400
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Mental Health Counselor 101YM0800X MH6579 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd
Jacksonville Beach, FL 32250-1416

Mailing address

4300 Marsh Landing Blvd
Jacksonville Beach, FL 32250-1416
Phone (904) 280-0471

Other identifiers 1

IdentifierTypeStateIssuer
Z040COtherFLBLUE CROSS & BLUE SHIELD

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
Master of Education

State licenses

LicenseStateTypeSpecialty
MH6579FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235204926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501416",
            "telephone_number": "904-280-0471",
            "fax_number": "904-273-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501416",
            "telephone_number": "904-280-0471",
            "fax_number": "904-273-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "KAREN",
        "middle_name": "MICHEEL",
        "name_prefix": "Ms.",
        "credential": "MED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Z040C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

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.