Individual provider Active NPI

Noor Gorgees

  • Mental Health Counselor
  • El Cajon, CA
National Provider Identifier
1770024200
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
109422 Issued in CA
Practice address
700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone
(619) 441-1907
Fax
(619) 441-1908
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X D7427657 CA
Marriage & Family Therapist 106H00000X 109422 CA
Mental Health Counselor 101YM0800X 109422 CA Primary

Addresses

Primary practice location

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589

Mailing address

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone (619) 441-1907

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

LicenseStateTypeSpecialty
109422CAMDMarriage & Family Therapist
D7427657CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1770024200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE STE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202589",
            "telephone_number": "619-441-1907",
            "fax_number": "619-441-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE STE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202589",
            "telephone_number": "619-441-1907",
            "fax_number": "619-441-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGEES",
        "first_name": "NOOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "D7427657",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109422",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.