Individual provider Active NPI

Josie Gibb, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1194976050
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0099861 Issued in NM
Practice address
4411 Guadalupe Church St NW
Albuquerque, NM 87107-3171
Phone
(505) 377-7781
Fax
(505) 717-2776
NPI assigned
Oct 8, 2008
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 CCMH0099861 NM Primary

Addresses

Primary practice location

4411 Guadalupe Church St NW
Albuquerque, NM 87107-3171

Mailing address

4411 Guadalupe Church St NW
Albuquerque, NM 87107-3171
Phone (505) 377-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0099861NMMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1194976050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 GUADALUPE CHURCH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073171",
            "telephone_number": "505-377-7781",
            "fax_number": "505-717-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 GUADALUPE CHURCH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073171",
            "telephone_number": "505-377-7781",
            "fax_number": "505-717-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBB",
        "first_name": "JOSIE",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0099861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.