Active NPI
Mary Lou Gambill, CDMS
- Rehabilitation Counselor
- Dublin, OH
National Provider Identifier
1780736249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00056892
- Practice address
- 5555 Glendon CT
Dublin, OH 43016-3249 - Phone
- (614) 940-2363
- Fax
- (614) 775-9651
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00056892 | OH | Primary |
Addresses
Primary practice location
5555 Glendon CT
Dublin, OH 43016-3249
Mailing address
5555 Glendon CT
Dublin, OH 43016-3249
Phone (614) 940-2363
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 |
|---|---|---|---|
| 00056892 | OH | MD | Rehabilitation Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vocworks | Past | Accepting new patients |
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.
-
- Exclusive Provider Organization
- Dublin, OH
- NPI 1538432331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780736249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163249",
"telephone_number": "614-940-2363",
"fax_number": "614-775-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163249",
"telephone_number": "614-940-2363",
"fax_number": "614-775-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBILL",
"first_name": "MARY LOU",
"name_prefix": "Ms.",
"credential": "CDMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "OH",
"license": "00056892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.