Individual provider Active NPI

Cathy Lynn Gamby, M.A., LLPC

  • Counselor
  • Grand Haven, MI
National Provider Identifier
1720400641
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401008035 Issued in MI
Practice address
234 Washington Ave
Grand Haven, MI 49417-1357
Phone
(616) 402-0026
NPI assigned
Jan 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008035 MI Primary

Addresses

Primary practice location

234 Washington Ave
Grand Haven, MI 49417-1357

Mailing address

17973 Brucker St
Grand Haven, MI 49417-9334
Phone (616) 402-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240104002810 MI Practitioner - Mental Health Counselor 9931550837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Start and Associates Psychological Support LLCGroup PAC ID 2365623428, 8 clinicians

Practice addresses (Care Compare)

234 /2 Washington Ave
Grand Haven, MI 49417-1375
Phone (616) 607-4476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008035MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Start and Associates Psychological Support, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

234 Washington Ave
Grand Haven, MI 49417
Phone (616) 401-8624

320 Columbus Ave
Grand Haven, MI 49417
Phone (231) 903-3021

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": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389484800000",
    "number": "1720400641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17973 BRUCKER ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179334",
            "telephone_number": "616-402-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WASHINGTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171357",
            "telephone_number": "616-402-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBY",
        "first_name": "CATHY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A., LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.