STEPHANIE GILDEA – Mental Health Counselor, NPI 1083021810

STEPHANIE GILDEA is a healthcare provider. based in Springfield, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for STEPHANIE GILDEA is 1083021810

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE GILDEA
NPI
1083021810
Phone
Not provided
Address
500 GRAYSON DR
Enumeration Date
14 July 2014
Last Update Date
14 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085212200
Graduation Year
2014 (12 years ago)
PAC ID
9436502564
Group Practice PAC ID
7911315379
Professional Enrollment ID
I20240125000974
Address ID
MA018803044WA37XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for STEPHANIE GILDEA

  • 500 GRAYSON DR

    SPRINGFIELD, MA 011191656

    Phone:

    Mailing address matches the actual address.

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: 2024-01-25

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
I20240125000974IMental Health CounselorMATBD

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 01119)

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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: 7911315379View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerCT
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE GILDEA in the U.S.?
In the U.S., STEPHANIE GILDEA is identified by NPI 1083021810.
Should I treat STEPHANIE GILDEA as an active provider?
Patients and plans typically see STEPHANIE GILDEA as active in the national extract.
How should patients interpret STEPHANIE GILDEA's specialty?
The extract shows Mental Health Counselor for STEPHANIE GILDEA. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEPHANIE GILDEA?
STEPHANIE GILDEA is associated with Springfield, Massachusetts in the same public data insurers reference.
Who maintains STEPHANIE GILDEA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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