Zachary Michael Gibson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011683 Issued in IL

Practice address

1548 Bond St Ste 114
Naperville, IL 60563

Phone

(630) 717-9408

Fax

(630) 596-8496

NPI assigned

Aug 16, 2018

Sex

Male

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

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1609356906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DUANE ST APT 2D",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374371",
            "telephone_number": "618-604-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 BOND ST STE 114",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-717-9408",
            "fax_number": "630-596-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Manchester Rd Bldg B930",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874579",
            "country_code": "US",
            "telephone_number": "618-604-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Gibson
• Jonathan Thomas Gibson
• Mia Elizabeth Gibson
• Rulon Owen Gibson, PH.D.
• Sara Leigh Gibson, LPC
• Jessie Giese, LCSW, BCBA
• Lindsay Gifford, APN
• Gifted Hands Massage and Bodywork LLC
• James William Gilbert, LCPC
• Sharon Jean Gilbert, MS

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.