Active NPI
Denise Eva Gibbons, LMHC, MCAP
- Mental Health Counselor
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9352
- Practice address
- 9469 Treasure LN NE
Saint Petersburg, FL 33702-2666 - Phone
- (727) 502-0188
- NPI assigned
- Jun 3, 2015
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH9352 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mtca Psychological Services P.a. | Current | Accepting new patients | |
| Mobile Counseling Services LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Daytona Beach, FL
- NPI 1821837394
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
-
- Psychologist
- Coral Gables, FL
- NPI 1841012960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.