Katelyn Gibbons
Individual provider Active NPI Mental Health Counselor · Millersville, MD
NPI 1376298802 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1376298802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LGP12374
- Practice address
- 1110 Benfield Blvd Ste B
Millersville, MD 21108-2644 - Phone
- (410) 863-7213
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Stepping Stone Counseling, LLC | Mental Health | Current |
Accepting new patients |
| Clarity Wellness Solutions LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP12374 | Yes |
Addresses
Primary practice location
1110 Benfield Blvd Ste B
Millersville, MD 21108-2644
Mailing address
2481 Lewis LN
Finksburg, MD 21048-1440
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgibbons@pdgrehab.com |
Other providers in Millersville, MD
- Sally J Gallena
- Rahul Gardner
- Travis Geissler
- Elizabeth McLendon Gentilcore
- Wanda Lafaye Ghant-Mooney
- Gretchen Giebels
- Elizabeth Ann Gielner
- Samantha Glover
- Rebecca Gondak
- Hope Lamberson Gonzalez
All providers in Millersville, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.