GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM
NPI 1851004584
Social Worker - Clinical in Glendale, AZ
About Gathered Connections Counseling Professional Limited Liability Com NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM (NPI 1851004584) is a healthcare organization registered as a clinical in Glendale, Arizona and active in the NPI registry since December 2022. The organization lists Michele Wiest, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gathered Connections Counseling Professional Limited Liability Com is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Gathered Connections Counseling Professional Limited Liability Com, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gathered Connections Counseling Professional Limited Liability Com's NPI number?
The NPI number for Gathered Connections Counseling Professional Limited Liability Com is 1851004584. It was assigned to this organization in the NPPES registry on December 27, 2022.
Where is Gathered Connections Counseling Professional Limited Liability Com located?
Gathered Connections Counseling Professional Limited Liability Com is located at 17505 N 79th Ave Ste 304C, Glendale, AZ 85308. The listed phone number is (623) 521-5096.
What is Gathered Connections Counseling Professional Limited Liability Com's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Gathered Connections Counseling Professional Limited Liability Com enrolled in Medicare?
Yes. Gathered Connections Counseling Professional Limited Liability Com is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gathered Connections Counseling Professional Limited Liability Com?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Gathered Connections Counseling Professional Limited Liability Com. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gathered Connections Counseling Professional Limited Liability Com was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gathered Connections Counseling Professional Limited Liability Com · NPI 1851004584
Clinical organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since December 27, 2022.
## Identity
- **NPI:** 1851004584 (Entity type: Organization)
- **Enumerated:** December 27, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Michele Wiest, OWNER
## Practice location
- **Address:** 17505 N 79TH AVE STE 304C, Glendale, AZ 85308-8729
- **Phone:** (623) 521-5096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1851004584) · Data from the CMS NPPES public registry.