Individual provider Active NPI

Shaquilla Denise Gibbons-Robinson, FAMILY COUNSELOR

  • Marriage & Family Therapist
  • Cullman, AL
National Provider Identifier
1265217061
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
A337 Issued in AL
Practice address
198 US Highway 278 E
Cullman, AL 35055-0690
Phone
(888) 355-7080
Fax
(256) 615-8632
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X A337 AL Primary

Addresses

Primary practice location

198 US Highway 278 E
Cullman, AL 35055-0690

Mailing address

198 US Highway 278 E
Cullman, AL 35055-0690
Phone (888) 355-7080

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

LicenseStateTypeSpecialty
A337ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Brick Road Counseling, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

198 US Highway 278 E
Cullman, AL 35055
Phone (888) 355-7080

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1265217061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 US HIGHWAY 278 E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550690",
            "telephone_number": "888-355-7080",
            "fax_number": "256-615-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 US HIGHWAY 278 E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550690",
            "telephone_number": "888-355-7080",
            "fax_number": "256-615-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS-ROBINSON",
        "first_name": "SHAQUILLA",
        "middle_name": "DENISE",
        "credential": "FAMILY COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "A337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.