Individual provider Active NPI

Lisa Marie Thompson-Gibson, LCPC, LPC, NCC

  • Professional Counselor
  • Swansea, IL
National Provider Identifier
1023498722
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013856 Issued in IL
Practice address
4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927
Phone
(618) 363-2150
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180013856 IL Primary
Professional Counselor 101YP2500X 2023041329 MO

Addresses

Primary practice location

4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927

Mailing address

4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927
Phone (618) 363-2150

Other practice location 1

660 S Euclid Ave
Campus Box 8033
St Louis, MO 63110-1010
Phone (314) 273-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180013856ILMDProfessional Counselor
2023041329MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1023498722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR STE E",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-363-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR STE E",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-363-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Euclid Ave",
            "address_2": "Campus Box 8033",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "631101010",
            "country_code": "US",
            "telephone_number": "314-273-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-GIBSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCPC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013856",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023041329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.