Antoinette Gabriel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC008939 Issued in GA

Practice address

299 Cooper Rd Ste B
Loganville, GA 30052-2579

Phone

(770) 217-4336

Fax

(770) 686-3429

NPI assigned

Oct 23, 2023

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 GA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rhodium Care Group of Ga LLC

  • Psychologist
  • Jackson, GA
  • NPI 1649148859
  Medicare reassignment NPD
• Aos Healing Center, LLC

  • Health Service Clinic/Center
  • Loganville, GA
  • NPI 1467102988

  Professional

  NPD

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1356123574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 BANDYWOOD DR SW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143451",
            "telephone_number": "678-237-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COOPER RD STE B",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522579",
            "telephone_number": "770-217-4336",
            "fax_number": "770-686-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Frey
• Alvin Lewis Frey, O.D.
• Stacy W Froelich, LCSW
• Angel Mawuena Fugar, CPNP-PC
• Omar Kevin Fuller
• Dana Marie Gallegos, PT
• Kendra Vanice Gamble-Webb, M.D.
• Preston Gantt, MD, SA-C
• Gardenia Home Care Services, L.L.C
• Sharika D Gardner Spates, LCSW

• Professional Counselor in Loganville, GA
• Providers in Loganville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.