Active NPI
Judith Gibson, MASTER OF ARTS MA
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1194864223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 628
- Practice address
- 1045 N 41St St
Lincoln, NE 68503-2113 - Phone
- (402) 466-6263
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 628 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 214 | NE | |
| Professional Counselor | 101YP2500X | 549 | NE |
Addresses
Primary practice location
1045 N 41St St
Lincoln, NE 68503-2113
Mailing address
1045 N 41St St
Lincoln, NE 68503-2113
Phone (402) 466-6263
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10181 | Other | MIDLANDS CHOICE | |
| 371093 | Other | NE | MHN MNGEDHEALTH NETWORK |
| 84939 | Other | NE | BLUE CROSS BLUE SHIELD |
| 6246121 | Other | NE | UNITED BEHAVIORAL HEALTH |
Other names 1
- Judith M Gibson
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1194864223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N 41ST ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685032113",
"telephone_number": "402-466-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 N 41ST ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685032113",
"telephone_number": "402-466-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JUDITH",
"credential": "MASTER OF ARTS MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "628",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "214",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "549",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "10181",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MNGEDHEALTH NETWORK",
"identifier": "371093",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84939",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6246121",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "GIBSON",
"middle_name": "M",
"credential": "MASTER OF ARTS MA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.