Individual provider Active NPI

Hannah Gibson

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1356022719
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
162544 Issued in CA
Practice address
1055 Armorlite Dr
San Marcos, CA 92069-1767
Phone
(760) 401-4719
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 140078 CA
Mental Health Counselor 101YM0800X 162544 CA
Mental Health Counselor 101YM0800X 14087 CA
Marriage & Family Therapist 106H00000X 162544 CA Primary

Addresses

Primary practice location

1055 Armorlite Dr
San Marcos, CA 92069-1767

Mailing address

235 Vista Village Dr # 108
Vista, CA 92083-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260608000757 CA Practitioner - Marriage and Family Therapist 1254802580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1055 Armorlite Dr Apt
Suite 301
San Marcos, CA 92069-1770

402 W Broadway
Suite 400
San Diego, CA 92101-3554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140078CAMDMental Health Counselor
162544CAMDMental Health Counselor
14087CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Video Game Child and Family Counseling Inc. Mental Health CurrentSince Jul 31, 2023 Accepting new patients

Locations

121 W Washington Ave
Ste 204
Sunnyvale, CA 94086
Phone (310) 962-1995

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1356022719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 VISTA VILLAGE DR # 108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920834998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ARMORLITE DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691767",
            "telephone_number": "760-401-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "162544",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14087",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.