Individual provider Active NPI

Jeffrey Gishkin, M.C.

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1649415126
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0079 Issued in AZ
Practice address
9445 S 50TH St
Phoenix, AZ 85044-5629
Phone
(602) 708-4719
NPI assigned
Dec 11, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2747 S Kihei Rd
Apt A201
Kihei, HI 96753-7235

2747 S Kihei Rd Apt
A201
Kihei, HI 96753-7235

80 Pine St
FL 21
New York, NY 10005-1700

PO Box
Dallas, TX 75373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251028000728 AZ Practitioner - Mental Health Counselor 1557850823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC0181AZMDAddiction (Substance Use Disorder) Counselor
LPC0079AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Integrated Clinic LLC CurrentSince Jul 29, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Helping Handz Counseling Services-Outpatient Treatment Cent PastSince Nov 1, 2020 Accepting new patients
Einfectionmd PC Past Accepting new patients
Cerebral Medical Group, a Professional Corporation Past Accepting new patients
Gishkin and Associates PLLC Addiction (Substance Use Disorder) Past Accepting new patients
Dehp LLC Past Accepting new patients
Dehp LLC PastSince Sep 8, 2019 Accepting new patients

Locations

3425 E Grant Rd
Ste 100
Tucson, AZ 85716
Phone (480) 306-1423

Interoperability endpoints

  • Direct secure messaging: jeffreygishkin@tdh.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC0181 AZ
Professional Counselor 101YP2500X LPC0079 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

9445 S 50TH St
Phoenix, AZ 85044-5629

Mailing address

2747 S Kihei Rd Apt A201
Kihei, HI 96753-7235
Phone (808) 419-0446

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1649415126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 S KIHEI RD APT A201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537235",
            "telephone_number": "808-419-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 S 50TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445629",
            "telephone_number": "602-708-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISHKIN",
        "first_name": "JEFFREY",
        "credential": "M.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC0181",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.