Active NPI
Pamela McGhee Gibbs, LPC
- Professional Counselor
- Tucker, GA
National Provider Identifier
1437584810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007079
- Practice address
- 1479 Brockett Rd Ste 100
Tucker, GA 30084-7326 - Phone
- (770) 375-8124
- Fax
- (770) 559-5543
- NPI assigned
- Sep 4, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007079 | GA | Primary |
Addresses
Primary practice location
1479 Brockett Rd Ste 100
Tucker, GA 30084-7326
Mailing address
1479 Brockett Rd Ste 100
Tucker, GA 30084-7326
Phone (770) 375-8124
Other practice location 1
410 Peachtree Pkwy
Bldg 400, Suite 4245
Cumming, GA 30041-7066
Phone (678) 429-9675
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 |
|---|---|---|---|
| LPC007079 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Minds Psychology Associates Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1437584810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD STE 100",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "770-375-8124",
"fax_number": "770-559-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD STE 100",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "770-375-8124",
"fax_number": "770-559-5543"
}
],
"practiceLocations": [
{
"address_1": "410 Peachtree Pkwy",
"address_2": "Bldg 400, Suite 4245",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300417066",
"country_code": "US",
"telephone_number": "678-429-9675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "PAMELA",
"middle_name": "MCGHEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.