Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Gidget Q.v. Rafus-Rousell, CASACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376827196

MS. Gidget Q.v. Rafus-Rousell, CASACII is a Mental Health Counselor in Canton, New York. Qualified in 2005, 21 years ago. Practices with Professional Medical Concierge Services PLLC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2011
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

80 State Highway 310 Ste 1 ST Lawrence County Community
Canton, NY 13617-1436
Phone: (315) 386-2167
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005006-1 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22453 (NY)

Record details

NPI number1376827196
Entity typeIndividual (Type 1)
GenderFemale
Credentials CASACII
Sole proprietorNo
NPI enumeratedSeptember 29, 2011
Last updated in NPPESMarch 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Professional Medical Concierge Services Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Canton