Susan Dawn Gibson, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUSAN DAWN GIBSON, LLC

Practice address

110 S 5TH St Ste 108
Yukon, OK 73099-2661

Phone

(405) 556-0478

NPI assigned

Aug 23, 2023

Reactivated

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Susan Dawn Gibson, LPCNPI 1821413550

Title

Owner/LPC

Phone

(405) 556-0478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan Dawn Gibson, LPC

  • Mental Health Counselor
  • Yukon, OK
  • NPI 1821413550
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1386428142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST STE 108",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992661",
            "telephone_number": "405-556-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST STE 108",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992661",
            "telephone_number": "405-556-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DAWN GIBSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-04-25",
        "deactivation_date": "2024-04-25",
        "reactivation_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "405-556-0478",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Dental Yukon, PLLC
• Joanna Lynn Summers
• Sunstone Family Therapy
• Surgical Partners of Oklahoma
• Surrey Hills Dental Inc
• Jefferson Charles Sutton
• David Sumner Swan
• Ashton Paige Sward
• Sweet Tooth Pediatric Dentistry
• Anita J. Sweetland IV, LPC

• Mental Health Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.