Active NPI
Sharon Gibson-Mainka, LPC, LCDC
- Counselor
- Waller, TX
National Provider Identifier
1437060795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 96427
- Practice address
- 2114 Fields Store Rd
Waller, TX 77484-8025 - Phone
- (936) 931-2299
- NPI assigned
- Sep 15, 2026
- Last updated
- Sep 17, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 96427 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17429 | TX |
Addresses
Primary practice location
2114 Fields Store Rd
Waller, TX 77484-8025
Mailing address
30560 Haner Rd
Hockley, TX 77447-6540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96427 | TX | MD | Counselor |
| 17429 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1437060795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30560 HANER RD",
"city": "HOCKLEY",
"state": "TX",
"postal_code": "774476540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 FIELDS STORE RD",
"city": "WALLER",
"state": "TX",
"postal_code": "774848025",
"telephone_number": "936-931-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON-MAINKA",
"first_name": "SHARON",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "96427",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waller, TX
- Fields Pharmacy ,LLC
- Michael Dennis Fitzpatrick, D.C.
- FM 362 Family Dental PLLC (FM 362 Family Dental)
- Lionel Joseph Fourrier Jr., DDS
- Freedomchoice Family Clinic
- Sherri Gilliard
- Great Leaps Behavior Center PLLC
- Guti Express Rehab LLC (Lend-A-Hand Care and Transport)
- Jason Gutsch, DC
- Kathleen A Hafner, OPTICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.