Tiffany Gibson, ALS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ALC04441 Issued in AL

Practice address

903 E Towne Lake Cir
Opelika, AL 36804-3207

Phone

(334) 444-5869

NPI assigned

Mar 29, 2023

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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• The Jewel Professor LLC

  • Community/Behavioral Health Agency
  • Opelika, AL
  • NPI 1306540687
  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1558065920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E TOWNE LAKE CIR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368043207",
            "telephone_number": "334-524-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E TOWNE LAKE CIR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368043207",
            "telephone_number": "334-444-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TIFFANY",
        "credential": "ALS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Swanson Gentry
• Alexis M Gibbs, DMD
• Chad Edward Gibbs, DO
• Gracie Sanders Gibbs
• Tricia Allison Day Gibbs, M.D.
• George Gregory Gilbert, M.D.
• Scott Austin Gilchrist Jr., MD
• Marcelee Ripley Gilder, CRNP
• Lee Gillian, ALC
• Daiane Brito Gist

• Counselor in Opelika, AL
• Providers in Opelika, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.