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GABRIELLE MOIRA HADORN
NPI 1639792369
Marriage & Family Therapist in Baltimore, MD

Active since May 28, 2020Opted out of Medicare · through Feb 26, 2028
117 N MONTFORD AVE, BALTIMORE, MD 21224(770) 823-5288 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, May 28, 2020 (2 updates tracked since 2020).

About Gabrielle Moira Hadorn NPPES

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

GABRIELLE MOIRA HADORN (NPI 1639792369) is an individual marriage & family therapist in Baltimore, Maryland, licensed in Maryland (LCM977) and active in the NPI registry since May 2020. She has opted out of Medicare through February 26, 2028.

NPPES Registry Identity

NPI1639792369
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameGABRIELLE MOIRA HADORN
Location Address117 N MONTFORD AVEBaltimore, MD 21224-1053
Mailing Address117 N Montford AveBaltimore, MD 21224-1053 · (770) 823-5288
Phone(770) 823-5288
Sole ProprietorNo
Enumeration DateMay 28, 2020
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1639792369 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 MD · LCM977
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.
117 N MONTFORD AVE, Baltimore, MD 21224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gabrielle Moira Hadorn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2024 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2024
Opt-Out In Effect ThroughFebruary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Hadorn's NPI number?

The NPI number for Gabrielle Hadorn is 1639792369. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Gabrielle Hadorn located?

Gabrielle Hadorn practices at 117 N Montford Ave, Baltimore, MD 21224. The listed phone number is (770) 823-5288.

What is Gabrielle Hadorn's specialty?

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

Is Gabrielle Hadorn enrolled in Medicare?

No. Gabrielle Hadorn has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gabrielle Hadorn was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.