Individual provider Active NPI

Jaime Gibson

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1285526483
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111692 Issued in TX
Practice address
13625 Pond Springs Rd Ste 202
Austin, TX 78729-4400
Phone
(512) 537-1415
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111692 TX Primary

Addresses

Primary practice location

13625 Pond Springs Rd Ste 202
Austin, TX 78729-4400

Mailing address

13625 Pond Springs Rd Ste 202
Austin, TX 78729-4400
Phone (512) 537-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260326003808 TX Practitioner - Clinical Social Worker 3971088030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13625 Pond Springs Rd
Suite 202
Austin, TX 78729-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111692TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DND Counseling PLLC Clinical CurrentSince Jul 28, 2025 Accepting new patients

Locations

13625 Pond Springs Rd
Ste 202
Austin, TX 78729
Phone (512) 537-1415

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1285526483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294400",
            "telephone_number": "512-537-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294400",
            "telephone_number": "512-537-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.