Individual provider Active NPI

Brenda Gail Gilman, LPC

  • Professional Counselor
  • Pass Christian, MS
National Provider Identifier
1265700686
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3172 Issued in MS
Practice address
213 Henderson Ave
Pass Christian, MS 39571-4309
Phone
(228) 300-8819
NPI assigned
Dec 13, 2011
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2283 TN
Professional Counselor 101YP2500X 3172 MS Primary

Addresses

Primary practice location

213 Henderson Ave
Pass Christian, MS 39571-4309

Mailing address

213 Henderson Ave
Pass Christian, MS 39571-4309
Phone (228) 300-8819

Other practice location 1

9045 Forest Centre Dr
Germantown, TN 38138-7857
Phone (901) 756-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250225001773 MS Practitioner - Mental Health Counselor 8921528696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind Works Therapy PLLCGroup PAC ID 8325451321, 4 clinicians

Practice addresses (Care Compare)

213 Henderson Ave
Pass Christian, MS 39571-4309
Phone (228) 300-8819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2283TNMDCounselor
3172MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Works Therapy PLLC CurrentSince Feb 12, 2025 Accepting new patients

Locations

213 Henderson Ave
Pass Christian, MS 39571
Phone (228) 300-8819

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1265700686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HENDERSON AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714309",
            "telephone_number": "228-300-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HENDERSON AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714309",
            "telephone_number": "228-300-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9045 Forest Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381387857",
            "country_code": "US",
            "telephone_number": "901-756-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "BRENDA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "2283",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pass Christian, MS

Sources for this page

Verify at the official NPI Registry.