GINA LEILA FAHOURI MFT
NPI 1760673446
Marriage & Family Therapist in Oakland, CA

Q: What is Gina Fahouri's NPI number?

The NPI number for Gina Fahouri is 1760673446. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Gina Fahouri's specialty?

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

Q: Is Gina Fahouri enrolled in Medicare?

No. Gina Fahouri has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gina Fahouri was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 07, 2007Opted out of Medicare · through May 13, 2028

1501 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-6200(510) 535-4167 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Gina Leila Fahouri Mft NPPES

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

GINA LEILA FAHOURI MFT (NPI 1760673446) is an individual marriage & family therapist in Oakland, California, licensed in California (MFC43893) and active in the NPI registry since August 2007. She has opted out of Medicare through May 13, 2028.

NPPES Registry Identity

NPI1760673446

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameGINA LEILA FAHOURICredential: MFT

Location Address1501 FRUITVALE AVEOakland, CA 94601-2322

Mailing Address1515 Fruitvale AveOakland, CA 94601-2322 · (510) 535-4000 · Fax (510) 535-4128

Phone(510) 535-6200

Fax(510) 535-4167

Sole ProprietorNo

Enumeration DateAugust 7, 2007

✔ NPI 1760673446 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 · MFC43893

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.

1501 FRUITVALE AVE, Oakland, CA 94601

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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

Gina Leila Fahouri Mft 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 May 13, 2026 through May 13, 2028.

Opt-Out Effective DateMay 13, 2026

Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

ENRIQUE LOPEZ-CASTRO

Counselor