NPIMap

Organization Active NPI

Gabriel Counseling Services, Inc.

  • Clinical Psychologist
  • Farmington, MI
National Provider Identifier
1891170478
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042859A Issued in IN
Legal business name
GABRIEL COUNSELING SERVICES, INC.
Practice address
24007 Merrilyn CT
Farmington, MI 48336-2333
Phone
(317) 678-7423
Fax
(317) 204-8787
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Dr. Jacqueline R. Elster, PSY.D.NPI 1033494406
Title
Psychologist/Owner
Phone
(317) 678-7423

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20042859A IN Primary

Addresses

Primary practice location

24007 Merrilyn CT
Farmington, MI 48336-2333

Mailing address

24007 Merrilyn CT
Farmington, MI 48336-2333
Phone (317) 678-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150807015060 IN Part B Supplier - Clinic/Group Practice 3072827708 Receives reassigned benefits from 3 practitioners
Practice locations: Brownsburg, IN
O20211207002028 MI Part B Supplier - Clinic/Group Practice 3072827708 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, MI

National Provider Directory

National Provider Directory

Locations

8713 South St
Fishers, IN 46038
Phone (317) 585-4969

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1891170478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 MERRILYN CT",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362333",
            "telephone_number": "317-678-7423",
            "fax_number": "317-204-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 MERRILYN CT",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362333",
            "telephone_number": "317-678-7423",
            "fax_number": "317-204-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "ELSTER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "317-678-7423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.