Individual provider Active NPI

Gabrielle Ap Shimkus, LPC, BSC

  • Mental Health Counselor
  • Throop, PA
National Provider Identifier
1164926440
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC008296 Issued in PA
Practice address
310 Varsity Dr
Throop, PA 18512-1446
Phone
(570) 881-9806
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003337 PA
Mental Health Counselor 101YM0800X PC008296 PA Primary

Addresses

Primary practice location

310 Varsity Dr
Throop, PA 18512-1446

Mailing address

310 Varsity Dr
Throop, PA 18512-1446

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
PC008296PAMDMental Health Counselor
BH003337PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Shimkus Counseling and Associates Mental Health CurrentSince Feb 19, 2023 Accepting new patients
Aaron Center, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

1300 Old Plank Rd
Ste 800
Mayfield, PA 18433
Phone (570) 878-3833

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1164926440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 VARSITY DR",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 VARSITY DR",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121446",
            "telephone_number": "570-881-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMKUS",
        "first_name": "GABRIELLE",
        "middle_name": "AP",
        "credential": "LPC, BSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003337",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Throop, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.