Casey L Gibbs, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2270 SE 39TH Ave
Portland, OR 97214-5916

Phone

(503) 963-8337

Fax

(503) 963-8365

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascadia Behavioral Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1710064035
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386760700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SE 50TH AVE",
            "address_2": "APT.18",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062200",
            "telephone_number": "503-753-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145916",
            "telephone_number": "503-963-8337",
            "fax_number": "503-963-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CASEY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QMHA",
            "identifier": "171M00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gibb, LCSW, LMFT
• Janet Lee Gibbens, M.D.
• Karen Gibbins, MD
• Jeremy Eldon Gibbon
• Jennifer L. Gibbons, ND
• Daniel M Gibbs, MD, PHD
• Dariynne Gibbs
• Kelsey Gibbs, CSWA
• Shalyia Gibbs
• Thomas Hugh Gibbs, O.D.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.