Active NPI
Omr Gebril, MA
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1992499107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 100 Hancock St FL 9
Quincy, MA 02171-1745 - Phone
- (617) 410-9328
- NPI assigned
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
100 Hancock St FL 9
Quincy, MA 02171-1745
Mailing address
32 Reedsdale St Apt 6
Boston, MA 02134-2906
Phone (203) 988-2016
Other names 1
- Omar Gebril
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients |
Locations
100 Hancock St
Fl 9
Quincy, MA 02171
Phone (508) 927-1176
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1992499107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 REEDSDALE ST APT 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021342906",
"telephone_number": "203-988-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HANCOCK ST FL 9",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711745",
"telephone_number": "617-410-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRIL",
"first_name": "OMR",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OMAR",
"last_name": "GEBRIL",
"credential": "MA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.