MRS. GABRIELLE JOHANNA IDEN (NPI# 1841858800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841858800 |
| Entity Type | Individual |
| Full Name | MRS. GABRIELLE JOHANNA IDEN |
| Other Name | GABRIELLE JOHANNA MCMANN |
| Credential | LGSW |
| Practice Address |
800 Emmett Rousch Dr Martinsburg WV 25401-6313 |
| Mailing Address |
55 Meridian Pkwy Martinsburg WV 25404-5422 |
| Practice Telephone | 3049012070 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | BP00945505 | WV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BP00945505 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV BORAD OF SOCIAL WORK | BP00945505 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Meridian Pkwy, Martinsburg, WV 254045422 | 3049012070 | 3049014436 |
| Street Address |
800 EMMETT ROUSCH DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730261132 | Diana Marilyn Gaviria | Preventive Medicine | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2006-10-19 |
| 1912554825 | Janessa Lowans | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1932756848 | Eryn Mills | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1902453822 | Emily Soffel | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-26 |
| 1083261143 | Nick George Vindivich IIi | Counselor | 800 Emmett Rousch Dr, Martinsburg, WV 25401-6313 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379183 | Courtney A Chapman | Counselor | 300 Foxcroft Ave Ste 100a, Martinsburg, WV 25401-5341 | 2019-01-09 |
| 1366925851 | East Mountain Health Physicians, Inc. | Counselor | 97 Administrative Dr Ste 200, Martinsburg, WV 25404-6378 | 2018-09-11 |
| 1235629718 | Laura Phillips | Counselor | 55 Meridian Pkwy Ste 103, Martinsburg, WV 25404-5422 | 2018-05-10 |
| 1154724433 | James Teams | Counselor | 35 Veronica Dr, Martinsburg, WV 25404-3756 | 2014-10-01 |
| 1508137969 | Two Rivers Counseling, LLC | Counselor | 409 W King St, Martinsburg, WV 25401-3203 | 2012-01-17 |
| 1225345622 | Lisa Mentzer Peltier | Counselor | 235 S. Water St., Martinsburg, WV 25401 | 2010-09-07 |
| 1477693208 | Blue Ridge Community & Counseling | Counselor | 213 West John Street, Martinsburg, WV 25401 | 2007-02-08 |
| 1780787358 | Psychological Consulting Inc | Counselor | 431 S Raleigh Street, Martinsburg, WV 25401 | 2006-09-07 |
| 1932621919 | East Mountain Health Physicians, Inc. | Counselor | 1000 Tavern Rd Ste 100, Martinsburg, WV 25401-2853 | 2017-07-12 |
| 1568902328 | Nicole Rae Buffington-demarco | Counselor | 235 S Water St, Martinsburg, WV 25401-4241 | 2017-02-27 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on MRS. GABRIELLE JOHANNA IDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.