Individual provider Active NPI

Anastasia Gibbs, LPC

  • Counselor
  • Ypsilanti, MI
National Provider Identifier
1336673342
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401224919 Issued in MI
Practice address
8063 Berkshire Dr
Ypsilanti, MI 48198-3687
Phone
(734) 623-9404
NPI assigned
Apr 17, 2017
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 03194 MN
Counselor 101Y00000X 6401224919 MI Primary

Addresses

Primary practice location

8063 Berkshire Dr
Ypsilanti, MI 48198-3687

Mailing address

1098 Ann Arbor Rd W Ste 651
Plymouth, MI 48170-2129
Phone (734) 623-9404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250225002910 MI Practitioner - Mental Health Counselor 1153841861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401224919MIMDCounselor
03194MNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Milton's Place, PLLC CurrentSince Sep 14, 2025 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Feb 18, 2025 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

1 Parklane Blvd
Ste 1200E
Dearborn, MI 48126
Phone (313) 329-9712

1098 Ann Arbor Rd W
Plymouth, MI 48170
Phone (248) 560-7561

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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, 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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1336673342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 ANN ARBOR RD W STE 651",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702129",
            "telephone_number": "734-623-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 BERKSHIRE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983687",
            "telephone_number": "734-623-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "03194",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401224919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.