Gibault, Inc. - Waiver

Primary specialty

Respite CareTaxonomy code 385H00000X

License

32301 Issued in IN

Legal business name

GIBAULT, INC. - WAIVER

Doing business as

Gibault Children's Services

Practice address

6401 S US Highway 41
Terre Haute, IN 47802-4749

Phone

(812) 298-3002

Fax

(812) 298-3044

NPI assigned

Jul 17, 2008

Last updated

Aug 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Madley, MS LMHCNPI 1629397476

Title

President/Ceo

Phone

(812) 298-3002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gibault Children's Services Doing business as

Tax ID family

Gibault Inc - Waiver6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Gibault , Inc.

  dba Gibault Children's Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Terre Haute, IN
  • NPI 1871749119
  NPD tax ID
• Gibault, Inc.

  • Child Mental Illness Respite Care
  • Terre Haute, IN
  • NPI 1386713279
  NPD tax ID
• Gibault, Inc.

  dba Gibault Children's Services

  • Psychiatric Residential Treatment Facility
  • Terre Haute, IN
  • NPI 1730487901
  NPD tax ID
• Gibault, Inc.

  dba Campagna Academy

  • Psychiatric Residential Treatment Facility
  • Schererville, IN
  • NPI 1821796681
  NPD tax ID
• Gibault, Inc.

  dba Gibault Children's Services

  • Psychiatric Residential Treatment Facility
  • Terre Haute, IN
  • NPI 1982774246
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Ann Madley, MS, LMHC

  • Mental Health Counselor
  • Terre Haute, IN
  • NPI 1629397476
  Authorized official Same address or phone

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1366606329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-298-3002",
            "fax_number": "812-298-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-298-3002",
            "fax_number": "812-298-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBAULT, INC. - WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MADLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-298-3002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "IN",
            "license": "32301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200897960 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibault Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gibault , Inc. (Gibault Children's Services)
• Gibault Care, Inc.
• Gibault, Inc.
• Gibault, Inc. (Gibault Children's Services)
• Gibault, Inc. (Gibault Children's Services)
• Trista J Gibbons, MA, LMFT
• Abigail Gibson, LCSW
• Jonathan Gibson, CRNA
• Kathryn O Gilbert, PA-C
• Paul A Gilbert, P.A.

• Respite Care in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.