Gibson Counseling Services, Inc, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2638 Issued in OK

Legal business name

GIBSON COUNSELING SERVICES, INC, PC

Practice address

27 B St SW
Ardmore, OK 73401-6418

Phone

(580) 490-9192

Fax

(580) 490-9194

NPI assigned

Jul 13, 2007

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Myria E. Gibson, M.S. LPC

Title

President

Phone

(580) 490-9192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1467651067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5775",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734030775",
            "telephone_number": "580-490-9192",
            "fax_number": "580-490-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 B ST SW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016418",
            "telephone_number": "580-490-9192",
            "fax_number": "580-490-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNSELING SERVICES, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MYRIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-490-9192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.