Individual provider Active NPI

Deborah Ellen Gipple, PH.D.

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1235252172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6466 Issued in NC
Practice address
11 Stadleridge Dr
Ste D
Greensboro, NC 27410-2652
Phone
(336) 638-8847
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6466 NC Primary

Addresses

Primary practice location

11 Stadleridge Dr
Ste D
Greensboro, NC 27410-2652

Mailing address

11 Stadleridge Dr
Ste D
Greensboro, NC 27410-2652
Phone (336) 638-8847

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6466NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235252172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STADLERIDGE DR",
            "address_2": "STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102652",
            "telephone_number": "336-638-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STADLERIDGE DR",
            "address_2": "STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102652",
            "telephone_number": "336-638-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPPLE",
        "first_name": "DEBORAH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.