Individual provider Active NPI

Ann Gibson, PHD

  • Counseling Psychologist
  • Winona, MN
National Provider Identifier
1336098623
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP3368 Issued in MN
Practice address
102 Walnut St Ste 303
Winona, MN 55987-5641
Phone
(515) 710-4002
NPI assigned
Jan 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP3368 MN Primary

Addresses

Primary practice location

102 Walnut St Ste 303
Winona, MN 55987-5641

Mailing address

102 Walnut St Ste 303
Winona, MN 55987-5641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260323001116 MN Practitioner - Clinical Psychologist 0941784474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Walnut St
Suite 303
Winona, MN 55987-5641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP3368MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Matters Therapy LLC CurrentSince Jan 28, 2026 Accepting new patients
Southeast Minnesota Sports Medicine & Orthopaedic Surgery Specialists PastSince Jan 28, 2026 Accepting new patients

Locations

111 Riverfront
Ste 307
Winona, MN 55987
Phone (507) 474-9300

102 Walnut St
Ste 303
Winona, MN 55987
Phone (515) 710-4002

Organizations & group practices 2

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": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1336098623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST STE 303",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST STE 303",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875641",
            "telephone_number": "515-710-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP3368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.