Active NPI
James M Gibson, MSED LPC CEAP CSAC
- Addiction (Substance Use Disorder) Counselor
- Cary, NC
National Provider Identifier
1073584629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 911
- Practice address
- 106D Ridgeview Dr
Cary, NC 27511 - Phone
- (919) 467-9995
- Fax
- (919) 467-8653
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11814 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 911 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 861 | NC |
Addresses
Primary practice location
106D Ridgeview Dr
Cary, NC 27511
Mailing address
106D Ridgeview Dr
Cary, NC 27511
Phone (919) 467-9995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102491 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 911 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 861 | NC | MD | Acupuncturist |
| 11814 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073584629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106D RIDGEVIEW DR",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-467-9995",
"fax_number": "919-467-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106D RIDGEVIEW DR",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-467-9995",
"fax_number": "919-467-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MSED LPC CEAP CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "11814",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "911",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "861",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102491",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.