Individual provider Active NPI

Kimberley Kay Gaskill, ED.D, LPC, CSC

  • Counselor
  • Castroville, TX
National Provider Identifier
1033704143
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
72272 Issued in TX
Practice address
812 Gentilz St
Castroville, TX 78009-4059
Phone
(210) 241-5423
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 72272 TX Primary

Addresses

Primary practice location

812 Gentilz St
Castroville, TX 78009-4059

Mailing address

812 Gentilz St
Castroville, TX 78009-4059
Phone (210) 241-5423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72272TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Koality Counseling Services LLC Counselor CurrentSince Mar 3, 2024 Accepting new patients

Locations

413 Madrid St
Ste 2
Castroville, TX 78009
Phone (210) 262-2807

Organizations & group practices 1

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1033704143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GENTILZ ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094059",
            "telephone_number": "210-241-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GENTILZ ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094059",
            "telephone_number": "210-241-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "KIMBERLEY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "ED.D, LPC, CSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "72272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.