Telashia Denea Gibbs

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15432 Issued in NC

Practice address

1808 Northcliff Dr
Charlotte, NC 28216-3640

Phone

(803) 899-1782

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1326663048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 NORTHCLIFF DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163640",
            "telephone_number": "803-899-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 NORTHCLIFF DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163640",
            "telephone_number": "803-899-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "TELASHIA",
        "middle_name": "DENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15432",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Dayse Gibbons I
• Katherine Busker Gibbons, M.S., R.D.N., L.D.N.
• Eric Paul Gibbs Jr., MD
• Ireland A Gibbs, LCSW
• Michael Alfred Gibbs, MD
• Gibraltar Services Consulting, Inc.
• Donna Gibson, RD LDN
• Floyd Brian Gibson, M.D.
• Kirra S Gibson
• Kirstyn Gibson

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.