Active NPI
Stacy Lee Gibbs, LPC
- Professional Counselor
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6231
- Practice address
- 3300 S Aspen Ave Ste D
Broken Arrow, OK 74012-7501 - Phone
- (918) 973-1464
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6909 | NC | |
| Professional Counselor | 101YP2500X | 6231 | OK | Primary |
Addresses
Primary practice location
3300 S Aspen Ave Ste D
Broken Arrow, OK 74012-7501
Mailing address
3300 S Aspen Ave Ste D
Broken Arrow, OK 74012-7501
Phone (918) 974-1464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 S Aspen Ave
Suite D
Broken Arrow, OK 74012-7501
Phone (918) 940-7158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6909 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choose Courage Counseling Services PLLC | Current | Accepting new patients | |
| Kidzcare Pediatrics, PC | Past | Accepting new patients |
Locations
3300 S Aspen Ave
Ste D
Broken Arrow, OK 74012
Phone (918) 451-2020
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Creekside | Skilled nursing facility | Operational/Managerial Control | Feb 26, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Nursing Facility/Intermediate Care Facility
- Grundy Center, IA
- NPI 1225546948
Operational/Managerial Control
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Broken Arrow, OK
- NPI 1528631314
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1194996199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S ASPEN AVE STE D",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127501",
"telephone_number": "918-974-1464",
"fax_number": "910-424-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 S ASPEN AVE STE D",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127501",
"telephone_number": "918-973-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "STACY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6909",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.