Tameka Sproling Gibson, MA, LPC , CRC, LADAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1408060 Issued in AR

Practice address

10 Corporate Hill Dr
330
Little Rock, AR 72205-4540

Phone

(501) 954-7470

Fax

(501) 954-7420

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, TX, AR3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/youthhome/r4/
• FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Medical Center

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1265160451

  AR, OR, Professional, TX

  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  AR

  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  AR

  Medicare reassignment
• Youth Home Inc

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1942266879
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1265782767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE HILL DR",
            "address_2": "330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054540",
            "telephone_number": "501-954-7470",
            "fax_number": "501-954-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE HILL DR",
            "address_2": "330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054540",
            "telephone_number": "501-954-7470",
            "fax_number": "501-954-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TAMEKA",
        "middle_name": "SPROLING",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC , CRC, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1408060",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "AR",
            "license": "00114996",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "327L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Rebecca Gibson, OTR/L
• Melinda Gibson, CRNA
• Mitzi A Gibson, MSPT
• Patricia Lynne Gibson, M.D.
• Shanita Gibson, LAC
• William F Gibson, D.D.S., P.A.
• Rachelle Ariele Gietzen, MD
• Steve Giger
• William Robert Giggleman, RN
• Anthony R Giglia III, MD

• Professional Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.