Active NPI
Donna Rebecca Gans, M.F.T.
- Mental Health Counselor
- Berkeley, CA
National Provider Identifier
1760673859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC41179
- Practice address
- 2820 Adeline St
Berkeley, CA 94703-2264 - Phone
- (510) 981-0369
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC41179 | CA | Primary |
Addresses
Primary practice location
2820 Adeline St
Berkeley, CA 94703-2264
Mailing address
2820 Adeline St
Berkeley, CA 94703-2264
Phone (510) 981-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41179 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1760673859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ADELINE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032264",
"telephone_number": "510-981-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ADELINE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032264",
"telephone_number": "510-981-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANS",
"first_name": "DONNA",
"middle_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC41179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.