Geoff Christopher Gibson, MS, LMFT

Individual provider Active NPI Marriage & Family Therapist · Fort Smith, AR

NPI 1497958722 · NPPES record last updated Jun 4, 2024

Key facts

NPI
1497958722
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
M0907004 (AR)
Practice address
1340 S Waldron Rd
Ste #2
Fort Smith, AR 72903-2556
Phone
(479) 452-5040
Fax
(479) 452-5047
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Global Therapy Inc (2 clinicians)

Practice addresses (Care Compare)

1002 McClain Rd
Suite 108
Bentonville, AR 72712-6739
Phone (479) 206-3627

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241223000923 AR Practitioner - Marriage and Family Therapist 6103353602 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Global Therapy, Inc Current
since Dec 12, 2024
Accepting new patients

Locations

1002 McClain Rd
Ste 108
Bentonville, AR 72712
Phone (479) 206-3627

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 829 OK
Marriage & Family Therapist 106H00000X M0907004 AR Yes

Addresses

Primary practice location

1340 S Waldron Rd
Ste #2
Fort Smith, AR 72903-2556

Mailing address

PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Marriage & Family Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.