Active NPI
Gina Gilton
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1770705477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 62826
- Practice address
- 629 Oakland Ave
Oakland, CA 94611-4567 - Phone
- (510) 365-9778
- NPI assigned
- May 3, 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 | 62826 | CA | Primary |
Addresses
Primary practice location
629 Oakland Ave
Oakland, CA 94611-4567
Mailing address
629 Oakland Ave
Oakland, CA 94611-4567
Phone (510) 593-5629
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070753 | Other | CA | MASTER PROVIDER FILE NUMB |
| 0753 | Other | CA | DRUG MEDI-CAL BILLING NO |
| 56678 | Other | CA | STAFF ID NUMBER |
| 07533 | Other | CA | ADOL TX BILLING NO |
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 |
|---|---|---|---|
| 62826 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1770705477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 OAKLAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114567",
"telephone_number": "510-593-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 OAKLAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114567",
"telephone_number": "510-365-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILTON",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "62826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER PROVIDER FILE NUMB",
"identifier": "070753",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL BILLING NO",
"identifier": "0753",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAFF ID NUMBER",
"identifier": "56678",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADOL TX BILLING NO",
"identifier": "07533",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.