Karissa Rossi Gambina, LMFT 117142

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117142 Issued in CA

Practice address

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385

Phone

(949) 632-9996

NPI assigned

Mar 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Free Your Mind Marriage & Family Therapy, Professional Inc

  • Marriage & Family Therapist
  • Laguna Hills, CA
  • NPI 1922578608
  NPD (past)
• Orange County Association for Mental Health

  • Mental Health Counselor
  • Santa Ana, CA
  • NPI 1316076151
  NPD (past)
• Orange County Association for Mental Health

  • Mental Health Counselor
  • Costa Mesa, CA
  • NPI 1972632610
  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1306386800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "949-632-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "949-632-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINA",
        "first_name": "KARISSA",
        "middle_name": "ROSSI",
        "credential": "LMFT 117142",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Liset Gallegos, MSW
• Carlie Dayle Galloway, LCSW
• Stacey L Galvin, LMFT #40424
• Tiffany Galvizo
• Sahil Gambhir, M.D.
• Sabina Malik Gandhi, MD, MPH
• Arlette Garcia Cruz
• Marie Ivette Garcia Merida
• Andrew Isaiah Garcia
• Ashley Garcia

• Marriage & Family Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.