Individual provider Active NPI

Gabriel Tirado, MA

  • Counselor
  • Reynoldsburg, OH
National Provider Identifier
1649507252
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.0900010 Issued in OH
Practice address
1900 Brice Rd Ste B
Reynoldsburg, OH 43068-3403
Phone
(614) 239-9965
NPI assigned
Nov 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.0900010 OH
Counselor 101Y00000X C.0900010 OH Primary

Addresses

Primary practice location

1900 Brice Rd Ste B
Reynoldsburg, OH 43068-3403

Mailing address

1900 Brice Rd Suite B
Reynoldburg, OH 43068
Phone (614) 239-9965

Other practice location 1

971 SW Walnut St
Hillsboro, OR 97123-5651
Phone (503) 640-5297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260505000296 OH Practitioner - Mental Health Counselor 8426526831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 E Walnut St
Lancaster, OH 43130-4464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.0900010OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehall Cap Inc Counselor PastSince Dec 10, 2023 Accepting new patients
Whitehall Cap Inc Mental Health PastSince Dec 10, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1649507252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BRICE RD SUITE B",
            "city": "REYNOLDBURG",
            "state": "OH",
            "postal_code": "43068",
            "telephone_number": "614-239-9965",
            "fax_number": "503-640-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BRICE RD STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683403",
            "telephone_number": "614-239-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 SW Walnut St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971235651",
            "country_code": "US",
            "telephone_number": "503-640-5297",
            "fax_number": "503-640-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "GABRIEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0900010",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.0900010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.