Individual provider Active NPI

Natalie Gibson, LPC

  • Professional Counselor
  • Gainesville, GA
National Provider Identifier
1104459239
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009815 Issued in GA
Practice address
977 Enota Ave NE
Gainesville, GA 30501-1700
Phone
(470) 290-8363
Fax
(352) 504-0923
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009815 GA Primary

Addresses

Primary practice location

977 Enota Ave NE
Gainesville, GA 30501-1700

Mailing address

977 Enota Ave NE
Gainesville, GA 30501-1700
Phone (470) 290-8363

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

LicenseStateTypeSpecialty
LPC009815GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Sinai Wellness Center, LLC CurrentSince Jul 24, 2022 Accepting new patients
The Well Therapies, Inc. CurrentSince Dec 8, 2024 Accepting new patients

Locations

330 Mount Sinai Dr
Dahlonega, GA 30533
Phone (706) 482-2040

977 Enota Ave NE
Gainesville, GA 30501
Phone (470) 290-8363

Organizations & group practices 2

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1104459239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "470-290-8363",
            "fax_number": "352-504-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "470-290-8363",
            "fax_number": "352-504-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.