Active NPI
Jeffrey Gishkin, M.C.
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1649415126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0079
- 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.
-
- Professional Counselor
- Phoenix, AZ
- NPI 1174764716
Addiction (Substance Use Disorder)
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1366815508
-
- Counselor
- Phoenix, AZ
- NPI 1679047336
-
- Infectious Disease Physician
- Phoenix, AZ
- NPI 1417437526
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1891395604
-
- Psychiatry Physician
- Glendale, CA
- NPI 1992355879
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251028000728 | AZ | Practitioner - Mental Health Counselor | 1557850823 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC0181 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC0079 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Integrated Clinic LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Helping Handz Counseling Services-Outpatient Treatment Cent | Past | 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 | Past | Accepting new patients |
Locations
3425 E Grant Rd
Ste 100
Tucson, AZ 85716
Phone (480) 306-1423
Interoperability endpoints
- jeffreygishkin@tdh.allscriptsdirect.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC0181 | AZ | |
| Professional Counselor | 101YP2500X | LPC0079 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.