Individual provider Active NPI

Gabriel P Koser, MA, MDIV

  • Pastoral Counselor
  • North Webster, IN
National Provider Identifier
1063923456
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
225 North Main Street
#5
North Webster, IN 46555
Phone
(574) 834-1393
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X IN Primary

Addresses

Primary practice location

225 North Main Street
#5
North Webster, IN 46555

Mailing address

225 N Main St
#5
North Webster, IN 46555
Phone (574) 834-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231220001718 IN Practitioner - Mental Health Counselor 9739539578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Human Wellness Collective LLCGroup PAC ID 2567812308, 4 clinicians

Practice addresses (Care Compare)

3562 E US Hwy 30
Human Wellness Collective
Warsaw, IN 46580-6720
Phone (574) 376-4489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Human Wellness Collective LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

151 E Lincoln St
Nappanee, IN 46550
Phone (574) 376-4489

3562 E US Highway 30
Warsaw, IN 46580
Phone (574) 252-1922

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1063923456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST",
            "address_2": "#5",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "46555",
            "telephone_number": "574-834-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NORTH MAIN STREET",
            "address_2": "#5",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "46555",
            "telephone_number": "574-834-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSER",
        "first_name": "GABRIEL",
        "middle_name": "P",
        "credential": "MA, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Webster, IN

Sources for this page

Verify at the official NPI Registry.