Organization Active NPI

T Gilman Therapy PLLC

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1861287815
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
T GILMAN THERAPY PLLC
Practice address
300 W Broadway Ste 37
Council Bluffs, IA 51503-9019
Phone
(712) 713-0270
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Tracy Gilman, LIMHP, LISW, CMSWNPI 1295357069
Title
Owner/Therapist
Phone
(712) 713-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

300 W Broadway Ste 37
Council Bluffs, IA 51503-9019

Mailing address

300 W Broadway Ste 37
Council Bluffs, IA 51503-9019
Phone (712) 713-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908003401 IA Part B Supplier - Clinic/Group Practice 5092217042 Receives reassigned benefits from 1 practitioner
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

300 W Broadway
Ste 37
Council Bluffs, IA 51503
Phone (712) 713-0270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1861287815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 37",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039019",
            "telephone_number": "712-713-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 37",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039019",
            "telephone_number": "712-713-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T GILMAN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "712-713-0270",
        "authorized_official_credential": "LIMHP, LISW, CMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.