Michael Alan Gibbs, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

63842 Issued in TX

Practice address

4110 Guadalupe St # 781
Austin, TX 78751-4223

Phone

(512) 851-0901

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1235619628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11913 BUZZ SCHNEIDER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483020",
            "telephone_number": "512-731-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST # 781",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-851-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay A. Gibbons, RN, CPNP
• Ashley Dianne Gibbs, M.D.
• Bryce Gibbs, PH.D.
• Maggie Gibbs, ST
• Matthew Wayne Gibbs, R.PH.
• Natasha Louise Gibbs, FNP
• Sarah Margaret Gibbs, RD, RDN
• Tessa Gibbs, RN, FNP-C
• Thais Cristina Gibby, RD
• Madeline Giblin

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.