Cheryl Gibson

Individual provider Active NPI Mental Health Counselor · Mayking, KY

NPI 1619084134 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619084134
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3367 Hwy 119 N
Mayking, KY 41837
Phone
(606) 633-4439
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky River Community Care, Inc Mental Health Past
since Sep 1, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3367 Hwy 119 N
Mayking, KY 41837

Mailing address

115 Rockwood LN
Hazard, KY 41701-9415

Other providers in Mayking, KY

All providers in Mayking, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.