Gayle Edyth Ellias, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063874 Issued in MI

Practice address

7650 Cooley Lake Rd Unit 59
Union Lake, MI 48387-7002

Phone

(248) 345-6067

NPI assigned

Dec 15, 2010

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Associates IncGroup PAC ID 0648225664, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Counseling Associates Inc

  • Mental Health Counselor
  • West Bloomfield, MI
  • NPI 1629069471
  Medicare reassignment Care Compare group NPD
• Integrative Counseling, LLC

  • Clinical Social Worker
  • Union Lake, MI
  • NPI 1215747423
  Medicare reassignment NPD Authorized official
• Carol a. Roekle, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
  • NPI 1659419257
  NPD (past)
• Counseling Associates, Incorporated

  • Social Worker
  • West Bloomfield, MI
  • NPI 1356716559
  NPD (past)

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1124321070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 COOLEY LAKE RD UNIT 59",
            "city": "UNION LAKE",
            "state": "MI",
            "postal_code": "483877002",
            "telephone_number": "248-345-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 COOLEY LAKE RD UNIT 59",
            "city": "UNION LAKE",
            "state": "MI",
            "postal_code": "483877002",
            "telephone_number": "248-345-6067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8241 Cooley Beach Dr",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483864313",
            "country_code": "US",
            "telephone_number": "248-345-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIAS",
        "first_name": "GAYLE",
        "middle_name": "EDYTH",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Counseling, LLC

• Clinical Social Worker in Union Lake, MI
• Providers in Union Lake, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.