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HALLEY JOSEPHINE GILDERSLEEVE MS
NPI 1265102495
Counselor - Professional in Culver City, CA

Active since September 18, 2021PECOS EnrolledAccepts Medicare Assignment
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Halley Josephine Gildersleeve Ms NPPES

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

HALLEY JOSEPHINE GILDERSLEEVE MS (NPI 1265102495) is an individual professional provider in Culver City, California, licensed in California (LPCC15347) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265102495
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHALLEY JOSEPHINE GILDERSLEEVECredential: MS
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690
Phone(310) 390-6612
Fax(310) 398-5690
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 18, 2021
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1265102495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC15347
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LPCC15347 (CA)
4760 SEPULVEDA BLVD, Culver City, CA 90230
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Halley Josephine Gildersleeve Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072955673
PECOS Enrollment IDI20240529000481
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 Reassignments

2

Medicare enrollment records show Halley Gildersleeve reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Didi Hirsch Psychiatric Service
Same address
Community/Behavioral Health
4760 S. SEPULVEDA BLVD
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
NPI 1730299959 (310) 390-6612
Sud Specialty Group - Ca
309 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 20

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

VERONICA FUENTES
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

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 Halley Gildersleeve's NPI number?

The NPI number for Halley Gildersleeve is 1265102495. It was assigned to this individual provider in the NPPES registry on September 18, 2021.

Where is Halley Gildersleeve located?

Halley Gildersleeve practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Halley Gildersleeve's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Halley Gildersleeve enrolled in Medicare?

Yes. Halley Gildersleeve is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Halley Gildersleeve's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halley Gildersleeve reassigns Medicare benefits to 2 organizations: Didi Hirsch Psychiatric Service (Culver City, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Halley Gildersleeve's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Halley Gildersleeve was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.