Individual provider Active NPI

Donald Clyde Gibson Jr., LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1154690964
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0011566 Issued in CO
Practice address
1360 Alveston St
Colorado Springs, CO 80910-2299
Phone
(719) 360-4369
Fax
(719) 544-2033
NPI assigned
Dec 22, 2011
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 0011566 CO Primary

Addresses

Primary practice location

1360 Alveston St
Colorado Springs, CO 80910-2299

Mailing address

503 N Main St Ste 450
Pueblo, CO 81003-3156
Phone (719) 719-3604

Other practice location 1

825 N Circle Dr Ste 200
Colorado Springs, CO 80909-5006
Phone (719) 360-4369

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
0011566COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting Point Counseling Services Past Accepting new patients

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, 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": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1154690964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 450",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033156",
            "telephone_number": "719-719-3604",
            "fax_number": "719-544-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ALVESTON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102299",
            "telephone_number": "719-360-4369",
            "fax_number": "719-544-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Circle Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095006",
            "country_code": "US",
            "telephone_number": "719-360-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DONALD",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0011566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.