Pauline Linda Gibson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64480 Issued in TX

Practice address

4703 S Loop 289
Lubbock, TX 79424-2224

Phone

(806) 687-5413

Fax

(806) 317-1588

NPI assigned

Sep 24, 2010

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Journeys Counseling Center

  • Professional Counselor
  • Lubbock, TX
  • NPI 1144791617
  NPD

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1467760496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242224",
            "telephone_number": "806-687-5413",
            "fax_number": "806-317-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242224",
            "telephone_number": "806-687-5413",
            "fax_number": "806-317-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PAULINE",
        "middle_name": "LINDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Gibson, LMFT
• David Roger Gibson, O.D.
• Jenee Gibson, RN, OCN
• Mason Gibson, AA
• Meridith Gibson
• Angela Kay Gideon, L.P.C
• Grant Gideon, MD
• D Ray Gifford, DDS
• Anna Gilbert
• Tammy Artega Gilbert, LPC

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.