Individual provider Active NPI

Scott Anthony Gibson, M.A.

  • Professional Counselor
  • Leitchfield, KY
National Provider Identifier
1124429766
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
805 Commerce Dr
Leitchfield, KY 42754
Phone
(270) 765-5817
NPI assigned
Sep 15, 2014
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

805 Commerce Dr
Leitchfield, KY 42754

Mailing address

207 Fairgrounds Rd
Hardinsburg, KY 40143-2585
Phone (270) 765-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240327004210 KY Practitioner - Mental Health Counselor 1254778061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Communicare IncGroup PAC ID 9830097815, 26 clinicians

Practice addresses (Care Compare)

1311 N Dixie Ave
Elizabethtown, KY 42701-2621
Phone (270) 769-1304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Inc Current Accepting new patients
Communicare Inc CurrentSince Feb 14, 2024 Accepting new patients
Communicare Inc CurrentSince Feb 14, 2024 Accepting new patients

Locations

107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650

1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

805 Commerce Dr
Leitchfield, KY 42754
Phone (270) 259-4652

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1124429766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FAIRGROUNDS RD",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432585",
            "telephone_number": "270-765-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COMMERCE DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "42754",
            "telephone_number": "270-765-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.