Active NPI
Melinda Annette Gibson, MS, PLPC
- Professional Counselor
- Joplin, MO
National Provider Identifier
1578874160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2010019927
- Practice address
- 1840 N Range Line Rd Ste 6
Joplin, MO 64801-8322 - Phone
- (417) 624-7002
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2010019927 | MO | Primary |
Addresses
Primary practice location
1840 N Range Line Rd Ste 6
Joplin, MO 64801-8322
Mailing address
PO Box 2038
Psychological Associates
Joplin, MO 64803
Phone (417) 624-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010019927 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Associates of Southwest Missouri, LLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Neosho, MO
- NPI 1508015371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1578874160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2038",
"address_2": "PSYCHOLOGICAL ASSOCIATES",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64803",
"telephone_number": "417-624-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N RANGE LINE RD STE 6",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648018322",
"telephone_number": "417-624-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MELINDA",
"middle_name": "ANNETTE",
"credential": "MS, PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2010019927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.