Individual provider Active NPI

Nancy Marie Gastelum, MS

  • Professional Counselor
  • Santa Maria, CA
National Provider Identifier
1407441777
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21288 Issued in CA
Practice address
400 W Park Ave
Santa Maria, CA 93458-6116
Phone
(805) 925-5470
NPI assigned
Mar 8, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 9320 CA
Professional Counselor 101YP2500X 21288 CA Primary

Addresses

Primary practice location

400 W Park Ave
Santa Maria, CA 93458-6116

Mailing address

1060 Village Dr Unit 303
Santa Maria, CA 93455-3067
Phone (805) 264-0854

Other practice location 1

604 W Ocean Ave
Lompoc, CA 93436-6630
Phone (805) 264-0854

Other names 1

  • Nancy Marie Gaskins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260602001887 CA Practitioner - Mental Health Counselor 4284105123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan ShelterGroup PAC ID 6204295603, 3 clinicians

Practice addresses (Care Compare)

401 W Morrison Ave
Suite B
Santa Maria, CA 93458-6124
Phone 8053473338102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21288CAMDProfessional Counselor
9320CAMDSpecialist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20265/brand/1/csg/1/fhir/r4

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1407441777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 VILLAGE DR UNIT 303",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553067",
            "telephone_number": "805-264-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586116",
            "telephone_number": "805-925-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 W Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934366630",
            "country_code": "US",
            "telephone_number": "805-264-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTELUM",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "9320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "GASKINS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.