Individual provider Active NPI

Gabrielle Marie Pease

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1881349843
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507034 Issued in OH
Practice address
3040 Riverside Dr Ste 120
Columbus, OH 43221-2550
Phone
(614) 329-8862
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2507034 OH Primary
Social Worker 104100000X S.2309069 OH
School Social Worker 1041S0200X

Addresses

Primary practice location

3040 Riverside Dr Ste 120
Columbus, OH 43221-2550

Mailing address

549 Olentangy St
Columbus, OH 43202-2346
Phone (614) 357-7623

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
S.2309069OHMDSocial Worker
I.2507034OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shana Kemp-Price Counseling Associates Dba Modern Therapy CurrentSince Nov 9, 2025 Accepting new patients

Locations

3040 Riverside Dr
Ste 120
Upper Arlington, OH 43221
Phone (614) 316-4912

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1881349843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 OLENTANGY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022346",
            "telephone_number": "614-357-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212550",
            "telephone_number": "614-329-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507034",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2309069",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.