Cheryl K. Gibson, LPCA, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

248391 Issued in KY

Practice address

375 Town Branch Rd Ste 2
Manchester, KY 40962-1326

Phone

(606) 598-0070

Fax

(844) 273-1765

NPI assigned

Jul 5, 2018

Last updated

Jan 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bouncing Back Counseling Inc

  • Substance Abuse Rehabilitation Facility
  • Manchester, KY
  • NPI 1396238051
  NPD Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1609362490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 HIGHWAY 638 STE 1",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627289",
            "telephone_number": "606-598-0070",
            "fax_number": "844-273-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 TOWN BRANCH RD STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621326",
            "telephone_number": "606-598-0070",
            "fax_number": "844-273-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Highway 638 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409627289",
            "country_code": "US",
            "telephone_number": "606-598-0070",
            "fax_number": "844-273-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CHERYL",
        "middle_name": "K.",
        "credential": "LPCA, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "248391",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "242173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100646500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Federal Correctional Insitution
• Fortitude Recovery Center
• Frontier Nursing Healthcare, Inc.
• Jennifer L Gates
• Heather Gay, OD
• Anthony Gilbert, PSS
• Brandy Gilbert
• Paula Kaye Gill, DMD PSC
• Whitney Kala Goodin
• Shawn R Gorden, M.D.

• Addiction (Substance Use Disorder) Counselor in Manchester, KY
• Providers in Manchester, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.