Eric Jon Rainey Gibson

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

00966 Issued in IA

Practice address

1003 Grand Avenue
West Des Moines, IA 50265-3502

Phone

(515) 267-1003

Fax

(515) 267-0100

NPI assigned

Mar 14, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• Eric Jon Gibson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kavalier & Associates PC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1497717946
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528036761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVENUE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003",
            "fax_number": "515-267-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVENUE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003",
            "fax_number": "515-267-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY GIBSON",
        "first_name": "ERIC",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "HSP00445",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00966",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "HSP00445",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00966",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IA",
            "license": "HSP00445",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IA",
            "license": "00966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HC",
            "identifier": "IA0134",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "36432",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "GIBSON",
            "middle_name": "JON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elyon Raah
• Melissa Rademacher, CRNA
• Kirsten R Radke, PT DPT
• Matthew Evan Raecker, MD
• Rianna Lynn Ragle, LMSW
• Nicholas Rains, PA-C
• Ramic Des Moines, LLC (Alliance HealthCare Radiology)
• Cynthia Ramsay, PHARMD
• Shelby L Ranck, PT
• Randal David Reynolds PHD LLC

• Clinical Child & Adolescent Psychologist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Clinical Child & Adolescent Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.