Individual provider Active NPI

Ray E Gibson, LPC

  • Mental Health Counselor
  • Norman, OK
National Provider Identifier
1093841116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3637 Issued in OK
Practice address
550 24TH Ave NW
Suite E
Norman, OK 73069-6310
Phone
(405) 329-8167
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3637 OK Primary

Addresses

Primary practice location

550 24TH Ave NW
Suite E
Norman, OK 73069-6310

Mailing address

4436 NW 50TH St
Oklahoma City, OK 73112-2212
Phone (405) 858-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924002800 OK Practitioner - Mental Health Counselor 9032650593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Oklahoma College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Road Counseling LLCGroup PAC ID 6103264841, 7 clinicians

Practice addresses (Care Compare)

1139 36TH Ave NW
Suite 200
Norman, OK 73072-4113
Phone (405) 990-0816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3637OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Road Counseling LLC CurrentSince Aug 17, 2024 Accepting new patients

Locations

1139 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 307-0111

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093841116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122212",
            "telephone_number": "405-858-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 24TH AVE NW",
            "address_2": "SUITE E",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696310",
            "telephone_number": "405-329-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "RAY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.