Katie Gibbons Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KATIE GIBBONS COUNSELING LLC

Practice address

785 Wall St Ste 200
O Fallon, IL 62269-1959

Phone

(618) 406-8857

Fax

(618) 726-2024

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Mary Kathleen Gibbons, LCPCNPI 1124481312

Title

Owner

Phone

(618) 406-8857

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kathleen Gibbons, L.C.P.C

  • Mental Health Counselor
  • Belleville, IL
  • NPI 1124481312
  NPD Authorized official

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1376010918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CORTNER DR",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851483",
            "telephone_number": "618-406-8857",
            "fax_number": "618-726-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 WALL ST STE 200",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691959",
            "telephone_number": "618-406-8857",
            "fax_number": "618-726-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE GIBBONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-406-8857",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Kahler
• Kaleidoscope Center Corp
• Lucas Kaliszak
• Karla Smith Foundation
• John Michael Kaschke, MD
• Gurleen Kaur
• Allison Keilbach
• Keim Family Chiropractic LLC
• Kelsey Stott LCSW LLC
• Meagan Kennedy, DPT

• Professional Counselor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.