Gail Sue Eiselman, L.M.F.T.
Individual provider Active NPI Mental Health Counselor · Piedmont, CA
NPI 1699708404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699708404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MFC18300 (CA)
- Practice address
- 49 Park Way
Piedmont, CA 94611-3928 - Phone
- (510) 653-6111
- Fax
- (510) 653-7267
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC18300 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC18300 | CA | Yes |
Addresses
Primary practice location
49 Park Way
Piedmont, CA 94611-3928
Mailing address
49 Park Way
Piedmont, CA 94611-3928
Phone (510) 653-6111
NPI Registry JSON
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699708404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PARK WAY",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946113928",
"telephone_number": "510-653-6111",
"fax_number": "510-653-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PARK WAY",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946113928",
"telephone_number": "510-653-6111",
"fax_number": "510-653-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISELMAN",
"first_name": "GAIL",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC18300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piedmont, CA
- Karen Michele Devaney
- Raminder Singh Dosanjh
- Ann Charlotte Dowley
- East Bay Physical Therapy and Pilates
- Alisha Rivera Eastwood
- Nancy Lynn Evans
- Sage Farrell
- Keith H Fiman
- Elizabeth Marie Fitzgerald
- Kerri Fjeld
All providers in Piedmont, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.