Individual provider Active NPI

Quebec Gibbins, LPCC

  • Professional Counselor
  • North Canton, OH
National Provider Identifier
1194495283
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0001806 Issued in OH
Practice address
1469 S Main St
North Canton, OH 44720-4245
Phone
(330) 499-3065
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 E-0001806 OH Primary

Addresses

Primary practice location

1469 S Main St
North Canton, OH 44720-4245

Mailing address

7217 Galena Ave NW
Canal Fulton, OH 44614-8199

Other identifiers 1

IdentifierTypeStateIssuer
1003076654OtherOHN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@gsccohio.com Direct

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
E-0001806OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Shepherd Counseling Center Professional PastSince Sep 28, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1194495283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 GALENA AVE NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204245",
            "telephone_number": "330-499-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBINS",
        "first_name": "QUEBEC",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0001806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1003076654",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gsccohio.com",
            "affiliation": "N",
            "endpointDescription": "The endpoint is our business email that all admin have access too.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mental Health Counseling",
            "address_1": "1469 S Main St",
            "city": "North Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447204245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.