Active NPI
Mary Longmore Gable, MA, LIC PSYCHOLOGIST
- Mental Health Counselor
- Parkersburg, WV
National Provider Identifier
1316094006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 843
- Practice address
- 601 Avery St Ste 400
Parkersburg, WV 26101-5111 - Phone
- (304) 428-6012
- Fax
- (304) 428-6031
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 843 | WV | Primary |
Addresses
Primary practice location
601 Avery St Ste 400
Parkersburg, WV 26101-5111
Mailing address
1807 Pearcy Ave
Parkersburg, WV 26101-3663
Phone (304) 485-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9203062000 | Medicaid | WV |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843 | WV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316094006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 PEARCY AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013663",
"telephone_number": "304-485-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 AVERY ST STE 400",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015111",
"telephone_number": "304-428-6012",
"fax_number": "304-428-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGMORE GABLE",
"first_name": "MARY",
"credential": "MA, LIC PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203062000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
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.