Gabriel Essilfie, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14857600 Issued in NJ

Practice address

2840 Rolling Fork Way
Glenwood, MD 21738-9746

Phone

(609) 668-4719

NPI assigned

Aug 3, 2023

Sex

Male

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Change CounselingGroup PAC ID 9739587486, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Creative Change Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Lumberton, NJ
  • NPI 1841813722

  NJ

  Medicare reassignment Care Compare group NPD
• Essilfie Psychiatric and Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Laurel, NJ
  • NPI 1710811799

  Psychiatric/Mental Health

  NPD Authorized official
• Creative Change Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glenwood, MD
  • NPI 1447978473
  NPD
• Creative Change Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hickory, NC
  • NPI 1053794065
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1124700679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 ROLLING FORK WAY",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389746",
            "telephone_number": "609-668-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 ROLLING FORK WAY",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389746",
            "telephone_number": "609-668-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSILFIE",
        "first_name": "GABRIEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14857600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Change Counseling
• Megan Crenshaw
• Justin Deitrick, LGPC
• Clare Donofrio, LCSW-C
• East Coast Anesthesia Inc.
• Sophia Flynn, FNP-BC
• Robin Grant, MPT
• Healthcare Interactive
• Kathryn Elizabeth Hereth, SLP
• Hilda'S Place Behavioral Health Organization

• Psychiatric/Mental Health Nurse Practitioner in Glenwood, MD
• Providers in Glenwood, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.