Active NPI
Debra Gibbons LLC
- Marriage & Family Therapist
- St.George, UT
National Provider Identifier
1063260370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- DEBRA GIBBONS LLC
- Practice address
- 321 N. Mall Dr. BLDG. O
#101
St.George, UT 84790 - Phone
- (435) 868-8376
- Fax
- (435) 635-9720
- NPI assigned
- May 10, 2024
- Last updated
- May 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Gibbons, M.F.T.
- Title
- Owner
- Phone
- (435) 868-8376
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
321 N. Mall Dr. BLDG. O
#101
St.George, UT 84790
Mailing address
321 N. Mall Dr. BLDG. O
#101
St.George, UT 84790
Phone (435) 868-8376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
321 N Mall Dr
Bldg O
St George, UT 84790
Phone (435) 868-8376
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- St George, UT
- NPI 1467774638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1063260370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N. MALL DR. BLDG. O",
"address_2": "#101",
"city": "ST.GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-868-8376",
"fax_number": "435-635-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N. MALL DR. BLDG. O",
"address_2": "#101",
"city": "ST.GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-868-8376",
"fax_number": "435-635-9720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA GIBBONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-868-8376",
"authorized_official_credential": "M.F.T."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St.George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.