Active NPI
Kayla Gibbons Counseling LLC
- Professional Counselor
- Pocatello, ID
National Provider Identifier
1235950775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- KAYLA GIBBONS COUNSELING LLC
- Practice address
- 845 W Center St
Pocatello, ID 83204-4205 - Phone
- (208) 729-6041
- Fax
- (208) 992-0241
- NPI assigned
- Oct 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla J Gibbons, LCPC
- Title
- Owner
- Phone
- (208) 729-6041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
845 W Center St
Pocatello, ID 83204-4205
Mailing address
921 S 8TH Ave, Box 8226
Pocatello, ID 83201-5377
Phone (208) 729-6041
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1235950775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 S 8TH AVE, BOX 8226",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015377",
"telephone_number": "208-729-6041",
"fax_number": "208-992-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 W CENTER ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832044205",
"telephone_number": "208-729-6041",
"fax_number": "208-992-0241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAYLA GIBBONS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "KAYLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-729-6041",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.