Active NPI
Tara Ann Gabrielson, BS
- Counselor
- Brookings, SD
National Provider Identifier
1780851766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 211 4TH St
East Central Mhicd Center Inc
Brookings, SD 57006 - Phone
- (605) 697-2850
- Fax
- (605) 697-2874
- NPI assigned
- May 9, 2008
- Last updated
- May 9, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
211 4TH St
East Central Mhicd Center Inc
Brookings, SD 57006
Mailing address
211 4TH St
East Central Mhicd Center Inc
Brookings, SD 57006
Phone (605) 697-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5200060 | Medicaid | SD |
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Mental Health & Chemical Dependency Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Brookings, SD
- NPI 1699820316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1780851766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "EAST CENTRAL MHICD CENTER INC",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "57006",
"telephone_number": "605-697-2850",
"fax_number": "605-697-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "EAST CENTRAL MHICD CENTER INC",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "57006",
"telephone_number": "605-697-2850",
"fax_number": "605-697-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIELSON",
"first_name": "TARA",
"middle_name": "ANN",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5200060",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.