Ellen Catherine Gish, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1665 Issued in MN

Practice address

7362 University Ave NE Ste 101
Fridley, MN 55432-3152

Phone

(763) 503-3981

NPI assigned

Nov 16, 2017

Last updated

May 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MN

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

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

DBT AssociatesGroup PAC ID 6800889577, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• DBT Associates

  • Mental Health Counselor
  • Fridley, MN
  • NPI 1639104193
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1336653096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13608 GLADIOLA ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043849",
            "telephone_number": "612-306-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323152",
            "telephone_number": "763-503-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Station Pkwy NW",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MN",
            "postal_code": "553043319",
            "country_code": "US",
            "telephone_number": "763-482-9598 x266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISH",
        "first_name": "ELLEN",
        "middle_name": "CATHERINE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elaine Gibson
• Tricia K. Gibson, M.A., LMFT
• Nathan Paul Gille, OPA-C
• Karen Leta Gillespie
• Robert Blackford Gillum III, DDS
• Global Case Management
• Jesse L Goembel, PA-C
• Joann Carol Goiffon, M.S., CCC-SLP
• Laurie Allyn Goldenberg, DDS, MD
• Kara Goldmann, PSYD

• Professional Counselor in Fridley, MN
• Providers in Fridley, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.