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CHARIS LEIGH GURROLA
NPI 1366917908
Counselor - Mental Health in Paducah, KY

Active since October 10, 2018PECOS Enrolled
1640 MCCRACKEN BLVD, PADUCAH, KY 42001(270) 534-5128 Get Directions Write a Review

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

About Charis Leigh Gurrola NPPES

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

CHARIS LEIGH GURROLA (NPI 1366917908) is an individual mental health provider in Paducah, Kentucky and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366917908
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARIS LEIGH GURROLA
Location Address1640 MCCRACKEN BLVDPaducah, KY 42001-9562
Mailing Address1640 Mccracken Blvd Ste 200Paducah, KY 42001-9562 · (270) 534-5128
Phone(270) 534-5128
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 10, 2018
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1366917908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1640 MCCRACKEN BLVD, Paducah, KY 42001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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)

Charis Leigh Gurrola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577021401
PECOS Enrollment IDI20260820001650
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 Charis Gurrola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emerald Therapy Center, LLC
2.4 mi
Community/Behavioral Health
5050 VILLAGE SQUARE DR STE B
Paducah, KY 42001
  • Reassigned Medicare billing, Kentucky enrollment
  • 15 clinicians in this Medicare group
NPI 1619340387 (270) 534-5128

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 2

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

MS. TRACY LYNN RUGG LCSW
Social Worker (Clinical)
1640 MCCRACKEN BLVD
PADUCAH, KY 42001
McCracken County (615) 693-1290
MICHEL N JENKINS LCSW
Social Worker (Clinical)
1640 MCCRACKEN BLVD
PADUCAH, KY 42001
McCracken County (270) 534-5128

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 Charis Gurrola's NPI number?

The NPI number for Charis Gurrola is 1366917908. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Charis Gurrola located?

Charis Gurrola practices at 1640 Mccracken Blvd, Paducah, KY 42001. The listed phone number is (270) 534-5128.

What is Charis Gurrola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charis Gurrola enrolled in Medicare?

Yes. Charis Gurrola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charis Gurrola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charis Gurrola reassigns Medicare benefits to Emerald Therapy Center, LLC (Paducah, KY). 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 Charis Gurrola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charis Gurrola accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Charis Gurrola 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 Charis Gurrola was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.