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GAVRIEL EAGLE CT
NPI 1912710724
Counselor - Mental Health in Cincinnati, OH

Active since January 28, 2025
830 EZZARD CHARLES DR, CINCINNATI, OH 45214(513) 381-6672 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, May 13, 2025 (2 updates tracked since 2025).

About Gavriel Eagle Ct NPPES

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

GAVRIEL EAGLE CT (NPI 1912710724) is an individual mental health provider in Cincinnati, Ohio, licensed in Ohio (C.2406390-TRNE) and active in the NPI registry since January 2025. He maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1912710724
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGAVRIEL EAGLECredential: CT
Location Address830 EZZARD CHARLES DRCincinnati, OH 45214-2525
Mailing Address2515 Burnet Ave Apt 515Cincinnati, OH 45219-2513 · (443) 788-0238
Phone(513) 381-6672
Sole ProprietorYes
Enumeration DateJanuary 28, 2025
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1912710724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.2406390-TRNE
830 EZZARD CHARLES DR, Cincinnati, OH 45214
Open in Google Maps ↗

Secondary Practice Location 1

Location 18040 Hosbrook Rd Ste 320Cincinnati, OH 45236-2908 · Phone (513) 939-0300

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.

KAI PORTER
Case Management
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
BRITTANI CALHOUN QMHS MA
Counselor (Addiction (Substance Use Disorder))
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
GRACE A GRIMES
Licensed Practical Nurse
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
LYNDA STOLLER RN
Registered Nurse
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
ERIN CAROLE KOHUS
Licensed Practical Nurse
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (704) 929-7398
LEIGH ANN KAHLE
Counselor (Addiction (Substance Use Disorder))
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
DANISHA PAYNE
Licensed Practical Nurse
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672
GARNET TAYLOR
Licensed Practical Nurse
830 EZZARD CHARLES DR
CINCINNATI, OH 45214
Hamilton County (513) 381-6672

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 Gavriel Eagle's NPI number?

The NPI number for Gavriel Eagle is 1912710724. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Gavriel Eagle located?

Gavriel Eagle practices at 830 Ezzard Charles Dr, Cincinnati, OH 45214. The listed phone number is (513) 381-6672.

What is Gavriel Eagle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gavriel Eagle was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.