Gabrielle Louise Kligis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6244 El Cajon Blvd Ste 14
San Diego, CA 92115-3918

Phone

(619) 640-3266

NPI assigned

Jul 8, 2019

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• San Diego Family Care

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457724858
  NPD (past)
• San Diego Family Care

  dba Linda Vista Health Care Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1730218348
  NPD (past)
• San Diego Family Care

  dba Linda Vista Health Care Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1780665877
  NPD (past)
• San Diego Family Care

  dba Mid-City Community Clinic-Pediatrics

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1962483040
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1346802550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017752",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD STE 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-640-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIGIS",
        "first_name": "GABRIELLE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Mary Klepin, REGISTERED DIETITIAN
• Sharla Kliebenstein
• Bruce John Klier, PH.D.
• Jennifer Elaine Kliewer, PT
• Morton Kligerman, M.D., M.P.H.
• Ara S. Klijian, M.D.
• Heike Klima, DC
• Lydia Klimchock, RNP
• Christina Delila Klimek, RN
• Ahnika Sarah Kline, M.D., PH.D.

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.