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MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II
NPI 1376827196
Counselor - Mental Health in Canton, NY

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment
80 STATE HIGHWAY 310 STE 1, ST. LAWRENCE COUNTY COMMUNITY, CANTON, NY 13617(315) 386-2167 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Gidget Q.v. Rafus-rousell Casac Ii NPPES

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

MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II (NPI 1376827196) is an individual mental health provider in Canton, New York, licensed in New York (005006-1) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376827196
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. GIDGET Q.V. RAFUS-ROUSELLCredential: CASAC II
Location Address80 STATE HIGHWAY 310 STE 1, ST. LAWRENCE COUNTY COMMUNITYCanton, NY 13617-1436
Mailing Address80 State Highway 310 Ste 1Canton, NY 13617-1436 · (315) 386-2167
Phone(315) 386-2167
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 29, 2011
Last NPPES UpdateMarch 7, 2018
✔ NPI 1376827196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005006-1
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22453 (NY)
80 STATE HIGHWAY 310 STE 1, Canton, NY 13617
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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

Ms. Gidget Q.v. Rafus-rousell Casac Ii 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 ID7517383631
PECOS Enrollment IDI20250402000453
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 Gidget Rafus-rousell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Medical Concierge Services, PLLC
125 mi
Family Medicine
37 FRIAR TUCK WAY
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1841812310 (518) 238-6028

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.

PATRICIA PIELNIK MD
Psychiatry & Neurology (Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
DESIRAE MARIE MALONE CRPA-P
Peer Specialist
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MACKENZIE LAUGHLIN
Peer Specialist
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 379-2490
MRS. JAMIE LYNN GIBSON FNP
Nurse Practitioner (Family)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
ERIN HUNNEYMAN CASAC-ADV., G
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
DR. ANTOINE GABRIEL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
ZACHARY MICHAEL AUSTIN
Peer Specialist
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
KRISTINA BETH KELLY-SNOW MS IN MENTAL HEALTH
Counselor (Mental Health)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167

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 Gidget Rafus-rousell's NPI number?

The NPI number for Gidget Rafus-rousell is 1376827196. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Gidget Rafus-rousell located?

Gidget Rafus-rousell practices at 80 State Highway 310 Ste 1 St. Lawrence County Community, Canton, NY 13617. The listed phone number is (315) 386-2167.

What is Gidget Rafus-rousell's specialty?

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

Is Gidget Rafus-rousell enrolled in Medicare?

Yes. Gidget Rafus-rousell 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 organization bills Medicare for Gidget Rafus-rousell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gidget Rafus-rousell reassigns Medicare benefits to Professional Medical Concierge Services, PLLC (Saratoga Springs, NY). 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 Gidget Rafus-rousell'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 Gidget Rafus-rousell was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.