Elizabeth Virginia Gibson, MA, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

70807 Issued in CA

Practice address

111 Myrtle St Ste 102
Oakland, CA 94607-2535

Phone

(510) 463-7673

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Virginia Gibson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1063777555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072535",
            "telephone_number": "510-463-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ELIZABETH",
        "middle_name": "VIRGINIA",
        "credential": "MA, MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "70807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GIBSON",
            "middle_name": "VIRGINIA",
            "credential": "MA, MFTI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhonda Frances Giarretto, MSN, RN, CNS
• John D Gibbins, PHD
• Amanda Elizabeth Gibbon
• Blake Aaron Gibbs
• Cody Bruce Gibson, LMFT
• Jessica Gibson
• Nia N. Gibson
• Rejoyce Gibson
• Sabrina Elizabeth Gibson
• Simon Gibson, PT

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.