JOHN GAWBOY – Mental Health Counselor, NPI 1043638653

JOHN GAWBOY is a healthcare provider. based in Burnsville, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 753 (MN). The NPI Number for JOHN GAWBOY is 1043638653

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOHN GAWBOY
NPI
1043638653
Phone
Not provided
Address
1751 SOUTHCROSS DR W
Enumeration Date
1 April 2014
Last Update Date
1 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528927690100
Graduation Year
2011 (15 years ago)
PAC ID
0345683074
Group Practice PAC ID
2163525031
Professional Enrollment ID
I20240208003950
Address ID
MN553067012BU1751XWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for JOHN GAWBOY

  • 1751 SOUTHCROSS DR W

    BURNSVILLE, MN 553067012

    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: 2024-02-08

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
I20240208003950IMental Health CounselorMNTBD

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 55306)

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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: 2163525031View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Where can patients find JOHN GAWBOY's NPI?
You can confirm JOHN GAWBOY with NPI 1043638653; it appears in the national provider directory.
Is JOHN GAWBOY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOHN GAWBOY list a primary specialty?
If you are matching referrals, note Mental Health Counselor for JOHN GAWBOY. Clinical services aligned with this taxonomy classification.
Where is JOHN GAWBOY's primary listing?
We display Burnsville, Minnesota because that is what the record indicates for JOHN GAWBOY.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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