Individual provider Active NPI

Gaia Cosgrove McVey, LCPC

  • Mental Health Counselor
  • Herrin, IL
National Provider Identifier
1740476910
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1220 S Park Ave
Herrin, IL 62948-4128
Phone
(618) 988-1757
Fax
(618) 988-1700
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

1220 S Park Ave
Herrin, IL 62948-4128

Mailing address

1220 S Park Ave
D
Herrin, IL 62948-4128
Phone (618) 988-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240215001916 IL Practitioner - Mental Health Counselor 8224472410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6355 Brandhorst Rd
Carterville, IL 62918-3322
Phone (618) 519-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Mental Health CurrentSince Jun 23, 2025 Accepting new patients
Shawnee Health Service and Development Corp Current Accepting new patients
Shawnee Health Service and Development Corp Mental Health Past Accepting new patients
Shawnee Health Service and Development Corp Mental Health Past Accepting new patients

Locations

1150 E Grand Ave
Rm 127
Carbondale, IL 62901

1025 N Wall St
Rm 102
Carbondale, IL 62901

801 S Lewis Ln
Rm 153
Carbondale, IL 62901

121 N Parrish Ln
Rm 123
Carbondale, IL 62901

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

6355 Brandhorst Rd
Carterville, IL 62918

Interoperability endpoints

  • Direct secure messaging: gaia.mcvey.1@14668.direct.athenahealth.com

Organizations & group practices 4

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1740476910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S PARK AVE",
            "address_2": "D",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484128",
            "telephone_number": "618-988-1757",
            "fax_number": "618-988-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484128",
            "telephone_number": "618-988-1757",
            "fax_number": "618-988-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEY",
        "first_name": "GAIA",
        "middle_name": "COSGROVE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.