Jamie Gibson, LPC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0904022 Issued in AR

Practice address

723 W Kingshighway
Paragould, AR 72450-5930

Phone

(870) 495-2911

Fax

(870) 495-2912

NPI assigned

Apr 16, 2012

Last updated

Mar 30, 2021By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meaningful Journeys Therapy and Support Center

  • Mental Health Counselor
  • Paragould, AR
  • NPI 1992397673
  NPD Authorized official
• Families, Inc. of Arkansas

  dba Families, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocahontas, AR
  • NPI 1275623035
  NPD (past)
• Families, Inc. of Arkansas

  dba Families, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
  • NPI 1386728681
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1396002333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505930",
            "telephone_number": "870-495-2911",
            "fax_number": "870-495-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505930",
            "telephone_number": "870-495-2911",
            "fax_number": "870-495-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "LPC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0904022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5AD45",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8704952911",
            "affiliation": "N",
            "address_1": "723 W Kingshighway",
            "city": "Paragould",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724505930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genesis Health and Longevity, Inc. (Helix Health)
• Kelly Geoffrion
• Sonya George, R.N.
• Miranda Ashton Geuri
• Abby Gibson, OT
• Sally Gibson, LPC
• Teri S. Gill Butler, OPTOMITRIST
• Jason Gill, APRN-CNP
• Jessica Lynn Gillihan
• Ebony Gillis

• Professional Counselor in Paragould, AR
• Providers in Paragould, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.