Individual provider Active NPI

Aislynn Gavin

  • Professional Counselor
  • Mount Pleasant, WI
National Provider Identifier
1023820438
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12591-125 Issued in WI
Practice address
8800 Washington Ave Ste 300
Mount Pleasant, WI 53406-3705
Phone
(262) 633-3591
Fax
(262) 633-2619
NPI assigned
Jan 22, 2025
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12591-125 WI Primary

Addresses

Primary practice location

8800 Washington Ave Ste 300
Mount Pleasant, WI 53406-3705

Mailing address

8800 Washington Ave Ste 300
Mount Pleasant, WI 53406-3705
Phone (262) 633-3591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911003239 WI Practitioner - Mental Health Counselor 9739682121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2906 Cormorant Rd
Delray Beach, FL 33444-3334

6121 Green Bay Rd
Suite 200
Kenosha, WI 53142-2931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12591-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Clinical Services CurrentSince May 26, 2025 Accepting new patients
Children's Medical Group Past Accepting new patients
Children's Medical Group Past Accepting new patients

Locations

6121 Green Bay Rd
Ste 200
Kenosha, WI 53142
Phone (262) 694-3718

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1023820438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063705",
            "telephone_number": "262-633-3591",
            "fax_number": "262-633-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063705",
            "telephone_number": "262-633-3591",
            "fax_number": "262-633-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "AISLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12591-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.