Tiram Gamliel, LPCC
Counselor, Professional in Grand Forks, ND. Individual provider (NPI-1).
NPI number1104882935
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1104882935
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tiram Gamliel
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Sep 6, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 168-11-15-01-148 | ND | Yes |
| 101YP2500X | Counselor, Professional | 00053 | MN |
Practice location
3535 S 31st St Ste 201Grand Forks, ND 58201-3593
Phone 701-780-6821 · Fax 701-780-1973
Mailing address
3535 S 31st St Ste 201Grand Forks, ND 58201-3593
Phone 701-780-6821 · Fax 701-780-1973
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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