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ETHAN W GILSON
NPI 1104374826
Counselor - Addiction (Substance Use Disorder) in Winooski, VT

Active since September 12, 2016PECOS Enrolled
476 MAIN ST, WINOOSKI, VT 05404(802) 363-1602 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan W Gilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN W GILSON (NPI 1104374826) is an individual addiction (substance use disorder) provider in Winooski, Vermont, licensed in Vermont (000728) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104374826
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameETHAN W GILSON
Location Address476 MAIN STWinooski, VT 05404-1300
Mailing AddressPo Box 102Winooski, VT 05404-0102 · (802) 363-1602
Phone(802) 363-1602
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 12, 2016
✔ NPI 1104374826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 000728
476 MAIN ST, Winooski, VT 05404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan W Gilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012369267
PECOS Enrollment IDI20240123004161
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Gilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Richford Health Center Inc
14 mi
Federally Qualified Health Center (FQHC)
4178 HIGHBRIDGE RD
Fairfax, VT 05454
  • Reassigned Medicare billing, Vermont enrollment
  • 24 clinicians in this Medicare group
NPI 1598411894 (802) 255-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON ROBERT GAMELIN
Counselor (Mental Health)
476 MAIN ST
WINOOSKI, VT 05404
Chittenden County (802) 238-5826
MS. ANGELIQUE TRYNELL SCHULTZ MS, MA, LADC
Psychologist (Addiction (Substance Use Disorder))
476 MAIN ST
WINOOSKI, VT 05404
Chittenden County (802) 343-5499
LINDA ANN RYAN LADC
Counselor (Addiction (Substance Use Disorder))
476 MAIN ST
WINOOSKI, VT 05404
Chittenden County (802) 373-6505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Gilson's NPI number?

The NPI number for Ethan Gilson is 1104374826. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Ethan Gilson located?

Ethan Gilson practices at 476 Main St, Winooski, VT 05404. The listed phone number is (802) 363-1602.

What is Ethan Gilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Ethan Gilson enrolled in Medicare?

Yes. Ethan Gilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Gilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Gilson reassigns Medicare benefits to The Richford Health Center Inc (Fairfax, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Gilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Gilson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ethan Gilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Gilson was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.