Individual provider Active NPI

Denise Eva Gibbons, LMHC, MCAP

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1427438662
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9352 Issued in FL
Practice address
9469 Treasure LN NE
Saint Petersburg, FL 33702-2666
Phone
(727) 502-0188
NPI assigned
Jun 3, 2015
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9352 FL Primary

Addresses

Primary practice location

9469 Treasure LN NE
Saint Petersburg, FL 33702-2666

Mailing address

9469 Treasure LN NE
Saint Petersburg, FL 33702-2666
Phone (727) 480-2068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916002533 FL Practitioner - Mental Health Counselor 8123569381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Counseling Services LLCGroup PAC ID 4486192648, 2 clinicians

Practice addresses (Care Compare)

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114-1214
Phone (321) 239-4124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9352FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince May 14, 2024 Accepting new patients
Mobile Counseling Services LLC Mental Health CurrentSince Apr 7, 2025 Accepting new patients

Locations

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114
Phone (321) 239-4124

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1427438662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9469 TREASURE LN NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022666",
            "telephone_number": "727-480-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9469 TREASURE LN NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022666",
            "telephone_number": "727-502-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "DENISE",
        "middle_name": "EVA",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.