Gabriella G Canen, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

85000409A Issued in IN

Practice address

62226 County Road 15
Goshen, IN 46526-9438

Phone

(574) 875-5117

NPI assigned

Jun 2, 2022

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 and National Provider Directory roles.

• Bashor Home of the United Methodist Church, Inc

  • Social Worker
  • Goshen, IN
  • NPI 1336421270
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1891434296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62226 COUNTY ROAD 15",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465269438",
            "telephone_number": "157-487-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62226 COUNTY ROAD 15",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465269438",
            "telephone_number": "574-875-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEN",
        "first_name": "GABRIELLA",
        "middle_name": "G",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauraellen Burtsfield
• Daniel Buzalski, LSW
• Heather Marie Calfee, RN
• Jennifer Robin Calvin
• Deborah Campanello
• Kenia Carbajal
• Patricia Gayle Carey, MSPT
• Caring for Hoosiers, Inc
• Cheryl L Carlton- Deal, DDS
• Carly Lantz Counseling LLC

• Marriage & Family Therapist in Goshen, IN
• Providers in Goshen, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.