Active NPI
Gabriela Ortiz, LPC, NCC
- Professional Counselor
- Passaic, NJ
National Provider Identifier
1245814102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 111 Lexington Ave
Passaic, NJ 07055-5246 - Phone
- (973) 471-8006
- NPI assigned
- May 7, 2021
- Last updated
- May 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
111 Lexington Ave
Passaic, NJ 07055-5246
Mailing address
111 Lexington Ave
Passaic, NJ 07055-5246
Phone (973) 471-8006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gsanchez@mhcp.org | Mental Health Clinic of Passaic Inc |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Clinic of Passaic Inc | Current | Accepting new patients | |
| Modern Therapy, LLC | Past | Accepting new patients |
Locations
111 Lexington Ave
Passaic, NJ 07055
Phone (973) 471-8006
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/mhcp/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Clifton, NJ
- NPI 1619009701
-
- Psychologist
- Eatontown, NJ
- NPI 1861910747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1245814102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LEXINGTON AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555246",
"telephone_number": "973-471-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LEXINGTON AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555246",
"telephone_number": "973-471-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "GABRIELA",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsanchez@mhcp.org",
"affiliation": "Y",
"affiliationName": "Mental Health Clinic of Passaic Inc",
"address_1": "111 Lexington Ave",
"city": "Passaic",
"state": "NJ",
"country_code": "US",
"postal_code": "070555246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.