Individual provider Active NPI

Gabrielle McCaskill

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1972241271
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99121931A Issued in IN
Practice address
56159 Riverdale Dr
Elkhart, IN 46514-1144
Phone
(888) 537-5733
Fax
(888) 847-0805
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 00000 IN
Mental Health Counselor 101YM0800X 99121931A IN Primary

Addresses

Primary practice location

56159 Riverdale Dr
Elkhart, IN 46514-1144

Mailing address

3411 Inwood Dr
Fort Wayne, IN 46815-5913
Phone (772) 267-2855

Other identifiers 1

IdentifierTypeStateIssuer
99121931AOtherINTEMP MENTAL HEALTH COUNSELOR ASSOCIATE LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabriellemccaskill@cnsfortwayne.com Health Information Exchange (HIE) Center for Neurobehavioral Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99121931AINMDMental Health Counselor
00000INMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Advocacy Links Resource & Advocacy Center Case Manager/Care Coordinator CurrentSince Jun 18, 2023 Accepting new patients
Advocacy Links, LLC Case Manager/Care Coordinator CurrentSince May 29, 2022 Accepting new patients
Center for Neurobehavioral Services Inc PastSince Nov 21, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1972241271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155913",
            "telephone_number": "772-267-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56159 RIVERDALE DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141144",
            "telephone_number": "888-537-5733",
            "fax_number": "888-847-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "00000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99121931A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMP MENTAL HEALTH COUNSELOR ASSOCIATE LICENSURE",
            "identifier": "99121931A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriellemccaskill@cnsfortwayne.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Center for Neurobehavioral Services Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3010 E State Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.