Organization Active NPI

Samantha Gibb LCSW Counseling, LLC

Doing business as Shoreview Psychotherapy

  • Adult Mental Health Clinic/Center
  • Spokane, WA
National Provider Identifier
1598450371
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAMANTHA GIBB LCSW COUNSELING, LLC
Doing business as
Shoreview Psychotherapy
Practice address
522 W Riverside Ave # 8151
Spokane, WA 99201-0580
Phone
(360) 499-2763
NPI assigned
Apr 7, 2023
Last updated
Apr 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Ms. Samantha Gibb, MSW, LICSW, LCSWNPI 1609256445
Title
Owner/Psychotherapist
Phone
(360) 499-2763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

522 W Riverside Ave # 8151
Spokane, WA 99201-0580

Mailing address

PO Box 33524
Pensacola, FL 32508-3524

Other names 1

  • Shoreview Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

522 W Riverside Ave
#8151
Spokane, WA 99201
Phone (360) 499-2763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1598450371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33524",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325083524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE # 8151",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "360-499-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA GIBB LCSW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "GIBB",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "360-499-2763",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreview Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.