Active NPI
Gabriella Kamara, APCC
- Professional Counselor
- Lake Forest, CA
National Provider Identifier
1609536051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13602
- Practice address
- 23712 Birtcher Dr
Lake Forest, CA 92630-1771 - Phone
- (888) 830-8374
- NPI assigned
- Dec 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | R1454011221 | CA | |
| Professional Counselor | 101YP2500X | 13602 | CA | Primary |
Addresses
Primary practice location
23712 Birtcher Dr
Lake Forest, CA 92630-1771
Mailing address
310 N Alpine Dr
Beverly Hills, CA 90210-4929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1454011221 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legends Healthcare LLC | Current | Accepting new patients | |
| 12 South LLC | Current | Accepting new patients |
Locations
23712 Birtcher Dr
Lake Forest, CA 92630
Phone (888) 830-8374
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Lake Forest, CA
- NPI 1154789766
-
- Psychiatric Residential Treatment Facility
- Laguna Hills, CA
- NPI 1467286054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1609536051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N ALPINE DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23712 BIRTCHER DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301771",
"telephone_number": "888-830-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMARA",
"first_name": "GABRIELLA",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "R1454011221",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "13602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
- Julie Ann Claveria, M.D., Inc., a Professional Medical Corporation
- K Prime Home LLC (Ak and David Senior Care)
- Kaelas Home for Elderly
- Kaelas Home for Elderly 2
- Alyssa Kallestad
- Alson Keoni Kanahele, DC, CSCS
- Melissa Kappes
- Karen Rightler, Pmhnp-BC, a Professional Nursing Corporation
- Linda Karpel, LCSW
- Jared Kasoff
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.