Eileen M Gillette

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LGM1043 Issued in MD

Practice address

29626 Old Creek LN
Easton, MD 21601-7929

Phone

(301) 331-1664

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 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

State licenses

Practice roles

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.

• Nautical Breeze Therapy, LLC

  • Marriage & Family Therapist
  • Easton, MD
  • NPI 1861153926
  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1871323253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29626 OLD CREEK LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017929",
            "telephone_number": "301-331-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29626 OLD CREEK LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017929",
            "telephone_number": "301-331-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "EILEEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Gialo, D.O.
• Giant of Maryland LLC (Giant Pharmacy 323)
• Kimberly Johnson Gibbons Neff, MS, CCC SLP
• Jane K Gibbs
• Gregory David Gibson
• Kira Ashley Gillin, LCSW-C
• Caitlin Gilman, FNP-C
• Lauren Holdsworth Gipe
• Margaret Anne Gise, PT, DPT
• Glaucoma Consultants of Washington

• Marriage & Family Therapist in Easton, MD
• Providers in Easton, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.