Active NPI
Gaelle Carey, LMFT #123162
- Marriage & Family Therapist
- Chula Vista, CA
National Provider Identifier
1942740790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123162
- Practice address
- 730 Medical Center CT
Chula Vista, CA 91911-6618 - Phone
- (619) 852-4998
- NPI assigned
- Feb 27, 2017
- Last updated
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106286 | CA | |
| Marriage & Family Therapist | 106H00000X | 123162 | CA | Primary |
Addresses
Primary practice location
730 Medical Center CT
Chula Vista, CA 91911-6618
Mailing address
3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724
Phone (619) 852-4998
Other practice location 1
892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740790 | Other | CA | CALIFORNIA |
Other names 1
- Gaelle I Viriot
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | careyoncounseling@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123162 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Health Management Psychological Corporation | Current | Accepting new patients |
Locations
4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Chino, CA
- NPI 1245791490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1942740790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 CAMINO DEL RIO N STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085724",
"telephone_number": "619-852-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116618",
"telephone_number": "619-852-4998"
}
],
"practiceLocations": [
{
"address_1": "892 27th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921541444",
"country_code": "US",
"telephone_number": "619-575-4687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAREY",
"first_name": "GAELLE",
"credential": "LMFT #123162",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106286",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "1942740790",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "careyoncounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "careyoncounseling@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "892 27th St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921541444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GAELLE",
"last_name": "VIRIOT",
"middle_name": "I",
"credential": "LMFT #123162",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.