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

LicenseStateTypeSpecialty
MFC18300CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Piedmont, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.