Alecia Gibler, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2018024306 Issued in MO

Practice address

1105 Fairgrounds Rd
Jefferson City, MO 65109-6452

Phone

(573) 659-3175

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Allie Mitan Former name

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1124595459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 GILLETTE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103505",
            "telephone_number": "573-230-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROUNDS RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096452",
            "telephone_number": "573-659-3175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Fairgrounds Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651096452",
            "country_code": "US",
            "telephone_number": "573-659-3175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBLER",
        "first_name": "ALECIA",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018024306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "MITAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Rose Gentges
• Emily H George, M.D.
• Edward J Gerber, PA-C
• Erin Briana Gerloff
• Baylee Gerstner, LCSW
• Daniel L Gibson, DO
• Hannah Elizabeth Gieck
• Sam Giftos
• Haley Gilbert, M.S.
• Michael Giles

• Speech-Language Pathologist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.