Individual provider Active NPI

Kamay H Gaboda, LCMHCS LCAS, CCS

  • Professional Counselor
  • Forest City, NC
National Provider Identifier
1326201120
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7003 Issued in NC
Practice address
107 Cherry Mountain St
Suite B
Forest City, NC 28043
Phone
(828) 716-0962
Fax
(828) 716-0962
NPI assigned
Jul 2, 2008
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20023 NC
Mental Health Counselor 101YM0800X 7003 NC
Professional Counselor 101YP2500X E.2404920 OH
Professional Counselor 101YP2500X 7003 NC Primary

Addresses

Primary practice location

107 Cherry Mountain St
Suite B
Forest City, NC 28043

Mailing address

PO Box 4
Forest City, NC 28043-0004
Phone (828) 716-0962

Other identifiers 1

IdentifierTypeStateIssuer
6103952MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, KY, SC, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240209002844 NC Practitioner - Mental Health Counselor 7012350630 Reassigns benefits to 3 organizations
I20250801001625 OH Practitioner - Mental Health Counselor 7012350630 Reassigns benefits to 2 organizations
I20250804001489 KY Practitioner - Mental Health Counselor 7012350630 Reassigns benefits to 1 organization
I20250806000076 SC Practitioner - Mental Health Counselor 7012350630 Reassigns benefits to 1 organization
I20250930000386 VA Practitioner - Mental Health Counselor 7012350630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

107 Cherry Mountain St
Suite B D
Forest City, NC 28043-3002
Phone (828) 716-0962

1111 Faison Ave
Fayetteville, NC 28304-5032
Phone (207) 487-5335

13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20023NCMDMental Health Counselor
7003NCMDPharmacist
10130SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Self, PLLC Mental Health CurrentSince Jan 4, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Sep 1, 2024 Accepting new patients
Karing Counseling Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Barrett Simpson, O.D. LLC Past Accepting new patients

Locations

107 Cherry Mountain St
Ste B
Forest City, NC 28043
Phone (828) 716-0962

107 Cherry Mountain St
Ste Bd
Forest City, NC 28043
Phone (828) 716-0962

1144 Western Blvd
Jacksonville, NC 28546
Phone (571) 206-1121

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

3301 Richmond Hwy
Alexandria, VA 22305
Phone (571) 275-5935

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1326201120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280430004",
            "telephone_number": "828-716-0962",
            "fax_number": "828-716-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHERRY MOUNTAIN ST",
            "address_2": "SUITE B",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-716-0962",
            "fax_number": "828-716-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABODA",
        "first_name": "KAMAY",
        "middle_name": "H",
        "credential": "LCMHCS LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20023",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404920",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.