MS. GABRIELLE WANCHEK MA
NPI 1588021752
Marriage & Family Therapist in El Segundo, CA

Active since January 19, 2016PECOS Enrolled
390 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA 90245(855) 501-1004 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, May 30, 2019, Mar 1, 2017 and 1 more (4 updates tracked since 2016).

About Ms. Gabrielle Wanchek Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GABRIELLE WANCHEK MA (NPI 1588021752) is an individual marriage & family therapist in El Segundo, California, licensed in California (117115) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1588021752
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. GABRIELLE WANCHEKCredential: MA
Location Address390 N PACIFIC COAST HWY STE 2060El Segundo, CA 90245-4401
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 19, 2016
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1588021752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 117115
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
390 N PACIFIC COAST HWY STE 2060, El Segundo, CA 90245

Secondary Practice Locations 2

Location 12010 Wilshire Blvd, Suite 1012Los Angeles, CA 90057-3507 · Phone (424) 703-3614
Location 2909 Pico BlvdSanta Monica, CA 90405 · Phone (310) 314-6200 ext. 3433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gabrielle Wanchek Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931669512
PECOS Enrollment IDI20260902002966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gabrielle Wanchek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245
Social Worker (Clinical)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245
Psychiatry & Neurology (Psychiatry)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245
Nurse Practitioner (Psychiatric/Mental Health)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245
Nurse Practitioner (Psychiatric/Mental Health)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245
Psychiatry & Neurology (Psychiatry)
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 90245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabrielle Wanchek's NPI number?

The NPI number for Gabrielle Wanchek is 1588021752. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Gabrielle Wanchek located?

Gabrielle Wanchek practices at 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245. The listed phone number is (855) 501-1004.

What is Gabrielle Wanchek's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Gabrielle Wanchek enrolled in Medicare?

Yes. Gabrielle Wanchek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gabrielle Wanchek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Wanchek reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gabrielle Wanchek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gabrielle Wanchek was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.