Individual provider Active NPI

Larry Anthony Gamble, L.C.S.W.-C.

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1720165574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
09477 Issued in MD
Practice address
751 Twinbrook Pkwy Ste 2
Rockville, MD 20851-1499
Phone
(240) 281-4513
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 09477 MD Primary

Addresses

Primary practice location

751 Twinbrook Pkwy Ste 2
Rockville, MD 20851-1499

Mailing address

14127 Yorkshire Woods Dr
Silver Spring, MD 20906-2872
Phone (240) 777-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09477MDMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: larry.gamble.p1@direct.mcg-hhs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720165574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 YORKSHIRE WOODS DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062872",
            "telephone_number": "240-777-1444",
            "fax_number": "240-777-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 TWINBROOK PKWY STE 2",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511499",
            "telephone_number": "240-281-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "LARRY",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "09477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.