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TONI GILBERT
NPI 1245728062
Social Worker - Clinical in Cypress, TX

Active since April 26, 2018PECOS Enrolled
12110 HUFFMEISTER RD., CYPRESS, TX 77429(281) 894-1423 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Apr 26, 2018 (2 updates tracked since 2018).

About Toni Gilbert NPPES

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

TONI GILBERT (NPI 1245728062) is an individual clinical provider in Cypress, Texas, licensed in Texas (69393) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245728062
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI GILBERT
Location Address12110 HUFFMEISTER RD.Cypress, TX 77429
Mailing Address14231 Angelina DrBaytown, TX 77523-2159 · (713) 480-2288
Phone(281) 894-1423
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 26, 2018
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1245728062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 69393
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12110 HUFFMEISTER RD., Cypress, TX 77429
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toni Gilbert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436630423
PECOS Enrollment IDI20260227000626
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 Toni Gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
986 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

AMANDA KELSO
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
GIOVANNI BURTON RBT
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
AMANDA MOLINA
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
JESSICA KING
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
LAUREN EVANS RBT
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
GRACIELA SABILLON-BLANKENSHIP
Behavior Technician
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
AMY BLAIR
Behavior Analyst
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423
MELINDA ELSNER BCBA
Behavior Analyst
12110 HUFFMEISTER RD.
CYPRESS, TX 77429
Harris County (281) 894-1423

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 Toni Gilbert's NPI number?

The NPI number for Toni Gilbert is 1245728062. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Toni Gilbert located?

Toni Gilbert practices at 12110 Huffmeister Rd., Cypress, TX 77429. The listed phone number is (281) 894-1423.

What is Toni Gilbert's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Toni Gilbert enrolled in Medicare?

Yes. Toni Gilbert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toni Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Gilbert reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Toni Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Gilbert accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Toni Gilbert 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 Toni Gilbert was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.