Gay Nibert

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH 11797 Issued in FL

Practice address

2400 S Ridgewood Ave
Suite 32
South Daytona, FL 32119-3097

Phone

(386) 304-7600

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1083010235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S RIDGEWOOD AVE",
            "address_2": "SUITE 32",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193097",
            "telephone_number": "386-304-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S RIDGEWOOD AVE",
            "address_2": "SUITE 32",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193097",
            "telephone_number": "386-304-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBERT",
        "first_name": "GAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 11797",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 11797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Chiropractor of South Daytona Inc
• Rachel Nakayama, DC
• Reina Nelson
• Jayson Dale Ness
• Michelle Renee Newman, PTA
• Northeast Florida Health Services, Inc.
• Northeast Florida Health Services, Inc.
• Northeast Florida Health Services, Inc.
• Norton Chiropractic Inc
• Lazaro Nunez, MD

• Mental Health Counselor in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.