Individual provider Active NPI

Gail R. Houk, LPCC -S

  • Professional Counselor
  • Medina, OH
National Provider Identifier
1699741702
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0001582 SUPV Issued in OH
Practice address
246 Northland Dr
Suite 200a
Medina, OH 44256-3441
Phone
(330) 725-9195
Fax
(330) 725-9187
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001582 SUPV OH Primary

Addresses

Primary practice location

246 Northland Dr
Suite 200a
Medina, OH 44256-3441

Mailing address

1005 Lakeshore Walk
Medina, OH 44256-1294
Phone (330) 391-0586

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
I20260616002593 OH Practitioner - Mental Health Counselor 0446414346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

246 Northland Dr
Suite 200a
Medina, OH 44256-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0001582 SUPVOHMDProfessional Counselor

Organizations & group practices 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1699741702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LAKESHORE WALK",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561294",
            "telephone_number": "330-391-0586",
            "fax_number": "330-725-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 200A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-725-9195",
            "fax_number": "330-725-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUK",
        "first_name": "GAIL",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LPCC -S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001582 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.