Organization Active NPI

Gibson Family Counseling LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tulsa, OK
National Provider Identifier
1043920168
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GIBSON FAMILY COUNSELING LLC
Practice address
5200 S Yale Ave Ste 203
Tulsa, OK 74135-7486
Phone
(918) 607-0222
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Cari Denise Gibson, LPCNPI 1629228812
Title
Sole MBR
Phone
(918) 607-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5200 S Yale Ave Ste 203
Tulsa, OK 74135-7486

Mailing address

26620 Duck Pond LN
Claremore, OK 74019-7537
Phone (918) 607-0222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1043920168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26620 DUCK POND LN",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740197537",
            "telephone_number": "918-607-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S YALE AVE STE 203",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357486",
            "telephone_number": "918-607-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "918-607-0222",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.