Cassie Lynn Gibbons, PHD, ALC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3557A Issued in AL

Practice address

220 Rhett Ave SW
Huntsville, AL 35801-4552

Phone

(256) 517-3330

NPI assigned

Nov 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Counseling LLC

  • Adult Mental Health Clinic/Center
  • Huntsville, AL
  • NPI 1578318127
  NPD Authorized official

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1093317943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WILLIAM WAY PL SE",
            "city": "GURLEY",
            "state": "AL",
            "postal_code": "357488032",
            "telephone_number": "719-205-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RHETT AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014552",
            "telephone_number": "256-517-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, ALC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3557A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "C3557A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Gewin, M.D.
• Manmohan K Ghanta, MD
• Sunitha A Ghanta, MD
• Lisa Marie Ghavam, CRNA
• Heather Marie Gibbon, LICSW
• Emily Noel Gibson, LBA - BCBA
• Gail S. Gibson, PH.D.,L.P.C.
• Jenny Stone Gibson, MSCCCSLP
• Kasey Gibson, RN
• Megan Elizabeth Gibson, MD

• Mental Health Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.