Jerry Dean Gibson, M.A., ED.D. LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2318 Issued in WV

Practice address

109 Thorn St Ste E
Princeton, WV 24740-3571

Phone

(304) 487-9996

Fax

(833) 488-1901

NPI assigned

Nov 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Gibson Counseling Center

  • Professional Counselor
  • Bluefield, VA
  • NPI 1841794609
  NPD Authorized official

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1174037899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5565",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247405565",
            "telephone_number": "304-487-9996",
            "fax_number": "833-488-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 THORN ST STE E",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403571",
            "telephone_number": "304-487-9996",
            "fax_number": "833-488-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JERRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.A., ED.D. LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jean George-Courts
• Ges Hospitalist Services Inc
• Brianna Giberson
• Curtis Jason Gibson
• Ellen Gibson, PRSS-SUD
• Travis Gibson, MS
• Bethany Gilco
• April Gill
• Kiera Gill
• Katie Gilley

• Professional Counselor in Princeton, WV
• Providers in Princeton, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.