Active NPI
Catherine Lynn Gibson, MACN, LPC
- Professional Counselor
- Sumter, SC
National Provider Identifier
1235578675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6108
- Practice address
- 213 N Main St
Sumter, SC 29150-4958 - Phone
- (803) 983-6735
- NPI assigned
- Jun 19, 2013
- Last updated
- Dec 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6108 | SC | Primary |
Addresses
Primary practice location
213 N Main St
Sumter, SC 29150-4958
Mailing address
213 N Main St
Sumter, SC 29150-4958
Phone (803) 983-6735
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | catherinegibson@playtherapyofsumter.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
| License | State | Type | Specialty |
|---|---|---|---|
| 6108 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Therapy of Sumter | Professional | Current | Accepting new patients |
Locations
213 N Main St
Sumter, SC 29150
Phone (803) 983-6735
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1235578675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 N MAIN ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504958",
"telephone_number": "803-983-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 N MAIN ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504958",
"telephone_number": "803-983-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CATHERINE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "MACN, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6108",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "catherinegibson@playtherapyofsumter.com",
"affiliation": "N",
"endpointDescription": "HIPPAA Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "213 N Main St",
"city": "Sumter",
"state": "SC",
"country_code": "US",
"postal_code": "291504958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.