Individual provider Active NPI

Rafael Musseb-Gil, FL-MH19985/CA-18667

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1790439586
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18667 Issued in CA
Practice address
344 20TH St
Oakland, CA 94612-3577
Phone
(321) 278-1928
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 18667 CA
Mental Health Counselor 101YM0800X MH19985 FL
Counselor 101Y00000X MH19985 FL
Professional Counselor 101YP2500X 18667 CA
Professional Counselor 101YP2500X MH19985 FL
Mental Health Counselor 101YM0800X 18667 CA Primary

Addresses

Primary practice location

344 20TH St
Oakland, CA 94612-3577

Mailing address

2445 Shoreline Dr Apt 309
Alameda, CA 94501-6214
Phone (321) 278-1928

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
18667CAMDProfessional Counselor
MH19985FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1790439586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SHORELINE DR APT 309",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016214",
            "telephone_number": "321-278-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 20TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123577",
            "telephone_number": "321-278-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSEB-GIL",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "FL-MH19985/CA-18667",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "18667",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19985",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH19985",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH19985",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18667",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 2025; 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.