Marcel Gamboa, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

18855 Issued in TX

Practice address

5870 Highway 6 N Ste 310
Houston, TX 77084-1850

Phone

(713) 705-9613

Fax

(713) 955-0275

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 7, 2024 through Jun 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Cycles Counseling

  • Counselor
  • Houston, TX
  • NPI 1558820928
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1740306927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 HIGHWAY 6 N STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841850",
            "telephone_number": "281-299-8607",
            "fax_number": "713-955-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 HIGHWAY 6 N STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841850",
            "telephone_number": "713-705-9613",
            "fax_number": "713-955-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 6th St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "TX",
            "postal_code": "774455420",
            "country_code": "US",
            "telephone_number": "979-826-4141",
            "fax_number": "979-826-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "MARCEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "18855",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18855",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167999503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167999502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jakela Gamble
• Kandi Denise Gamble, BS LVN
• Pamela Gamble, FNP-C
• Adriana Carolina Gamboa, MD
• Cheyenne Jennis Gamboa
• Priscilla Gamboa, AGACNP
• Dona Marie Gambrel, APRN, BC
• Edward Scott Gambrell, RN
• Carol Deann Gambrill, DO
• Norma Gamez-Paquin, LPC

• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.