Gilbert Jefferson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

79 Glenridge Rd
Glenville, NY 12302-4528

Phone

(518) 399-6446

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Conifer Park, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Liverpool, NY
  • NPI 1366498768
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1992224075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024528",
            "telephone_number": "518-399-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17520 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114325773",
            "country_code": "US",
            "telephone_number": "718-291-1888",
            "fax_number": "718-291-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2632 SW Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349532845",
            "country_code": "US",
            "telephone_number": "772-873-8811 x1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Franklin St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123052107",
            "country_code": "US",
            "telephone_number": "518-372-7031",
            "fax_number": "518-372-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "GILBERT",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Carole Hutchison, RPH
• Lora Marie Hyde, R.D.
• Daniel Ignatovets, PHARMD
• Danesh Irani
• Jeannine N Jacobs, IBCLC
• Donna Hope Juers
• Khyber Khan, MD
• Emily Gail Koklas, LMHC
• Andrea Marie Kufel, R.PH., PHARMD
• Mary Jeanne Lambeth

• Mental Health Counselor in Glenville, NY
• Providers in Glenville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.