Individual provider Active NPI

Debra Gibson, LPC

  • Mental Health Counselor
  • Decatur, AL
National Provider Identifier
1477630945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1699 Issued in AL
Practice address
502 Bank St NE
Suite D
Decatur, AL 35601-1606
Phone
(256) 340-0300
Fax
(256) 340-0353
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1699 AL Primary

Addresses

Primary practice location

502 Bank St NE
Suite D
Decatur, AL 35601-1606

Mailing address

502 Bank St NE
Suite D
Decatur, AL 35601-1606
Phone (256) 340-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2026 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1699ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling & Consulting Past Accepting new patients
Riverside Counseling and Consulting, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477630945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BANK ST NE",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356011606",
            "telephone_number": "256-340-0300",
            "fax_number": "256-340-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BANK ST NE",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356011606",
            "telephone_number": "256-340-0300",
            "fax_number": "256-340-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DEBRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.