TYISHA GASKIN
NPI 1508393315
Student in an Organized Health Care Education/Training Program in Forest Hills, NY
About Tyisha Gaskin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYISHA GASKIN (NPI 1508393315) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Melville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyisha Gaskin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyisha Gaskin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10463
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Footprints Mental Health Counseling, PC
- 29 clinicians in this Medicare group
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.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
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 Tyisha Gaskin's NPI number?
The NPI number for Tyisha Gaskin is 1508393315. It was assigned to this individual provider in the NPPES registry on May 11, 2017.
Where is Tyisha Gaskin located?
Tyisha Gaskin practices at 104-70 Queens Boulevard Suite 200, Forest Hills, NY 11375. The listed phone number is (718) 275-6010.
What is Tyisha Gaskin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tyisha Gaskin enrolled in Medicare?
Yes. Tyisha Gaskin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyisha Gaskin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyisha Gaskin reassigns Medicare benefits to Footprints Mental Health Counseling, P. C. (Bronx, 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 Tyisha Gaskin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyisha Gaskin accept?
Health plans from Oscar Health list Tyisha Gaskin 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 Tyisha Gaskin was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tyisha Gaskin · NPI 1508393315
Student in an Organized Health Care Education/Training Program provider in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since May 11, 2017.
## Identity
- **NPI:** 1508393315 (Entity type: Individual)
- **Enumerated:** May 11, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 104-70 QUEENS BOULEVARD, SUITE 200, Forest Hills, NY 11375
- **Phone:** (718) 275-6010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Footprints Mental Health Counseling, P. C. (NPI 1033724414, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508393315) · Data from the CMS NPPES public registry.