Active NPI
Patrick Robert Gibson, LPC, LMFT
- Mental Health Counselor
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10812
- Practice address
- 1020 S Carrier Pkwy
Grand Prairie, TX 75051-1527 - Phone
- (214) 743-1200
- Fax
- (817) 451-1331
- NPI assigned
- Nov 6, 2006
- Last updated
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10812 | TX | Primary |
Addresses
Primary practice location
1020 S Carrier Pkwy
Grand Prairie, TX 75051-1527
Mailing address
1716 Watson St
Fort Worth, TX 76103-2044
Phone (817) 451-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Mental Health & Mental Retardation Center | Current | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1020 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 330-2424
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metrocare Services
- Psychiatry Physician
- Dallas, TX
- NPI 1023239886
-
dba Metrocare Pharmacy
- Clinic Pharmacy
- Grand Prairie, TX
- NPI 1093114134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1033288055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 WATSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761032044",
"telephone_number": "817-451-3380",
"fax_number": "817-451-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511527",
"telephone_number": "214-743-1200",
"fax_number": "817-451-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "PATRICK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "10812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.