NICHOLAS GISH – Professional Counselor, NPI 1689398638

NICHOLAS GISH is a healthcare provider. based in Atlanta, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 37PC00885900 (NJ). The NPI Number for NICHOLAS GISH is 1689398638

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS GISH
NPI
1689398638
Phone
(855) 284-7483
Address
PO BOX 748465
Enumeration Date
3 October 2022
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6098331644
Graduation Year
2018 (8 years ago)
PAC ID
9931559408
Group Practice PAC ID
6709320302
Professional Enrollment ID
I20231224000014
Address ID
NJ082251201NO331XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for NICHOLAS GISH

  • PO BOX 748465

    ATLANTA, GA 303748465

    Phone: (855) 284-7483

    Fax: (617) 807-0958

    Type: Mailing

  • 505 MAIN ST

    TOMS RIVER, NJ 087537443

    Phone: (855) 284-7483

    Fax: (617) 807-0958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231224000014IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709320302View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

How do I look up NICHOLAS GISH by NPI?
Use NPI 1689398638 when you need to reference NICHOLAS GISH in forms, claims, or directories.
Is NICHOLAS GISH active in the national directory?
NICHOLAS GISH's public NPI profile is in an active state.
Can you summarize NICHOLAS GISH's specialty in plain language?
Clinically, the directory lists NICHOLAS GISH with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does NICHOLAS GISH practice in Georgia?
You will see Atlanta, Georgia on file for NICHOLAS GISH alongside any extra practice locations.
Is NICHOLAS GISH a real provider?
This page reflects official NPPES data for NPI 1689398638. Always confirm identity and privileges with the practice and licensing boards.

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