Active NPI
Jennifer M Gamba, LMHC
- Mental Health Counselor
- Burlington, MA
National Provider Identifier
1699508143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10002595
- Practice address
- 101 Cambridge St Ste 230
Burlington, MA 01803-3767 - Phone
- (978) 222-3121
- NPI assigned
- Aug 21, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10002595 | MA | Primary |
Addresses
Primary practice location
101 Cambridge St Ste 230
Burlington, MA 01803-3767
Mailing address
5 Cabot Rd Unit 400
Medford, MA 02155-5288
Phone (707) 849-2754
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 |
|---|---|---|---|
| 10002595 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1699508143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CABOT RD UNIT 400",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555288",
"telephone_number": "707-849-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CAMBRIDGE ST STE 230",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033767",
"telephone_number": "978-222-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBA",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10002595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.