Carmelle Romie Gourgue, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1049 Broadway Ste 2
West Long Branch, NJ 07764-1335

Phone

(732) 852-7750

NPI assigned

Mar 12, 2024

Last updated

Sep 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Stellar Counseling Services

  • Clinical Social Worker
  • Upper Montclair, NJ
  • NPI 1740064377

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1821856048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012529",
            "telephone_number": "732-674-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY STE 2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641335",
            "telephone_number": "732-852-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURGUE",
        "first_name": "CARMELLE",
        "middle_name": "ROMIE",
        "name_prefix": "Mrs.",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia T Gilson, M.D.
• Noah R Gilson, MD
• Michael Girgis, PHARMACIST
• Alyssa Golden
• Douglas Goldsmith, DC
• Graham Behavior Services, LLC
• Gwen Greenberg, MSRD
• Ashley Nicole Gwathney, LCSW
• Mary Hanna-Alla, PA-C
• Pauline Sarah Harmatz, DC

• Marriage & Family Therapist in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.