Jacqueline Anne Gibb, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

15962 Issued in FL

Practice address

6800 N Dale Mabry Hwy Ste 164
Tampa, FL 33614

Phone

(813) 689-8828

NPI assigned

Feb 6, 2015

Sex

Female

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

Practice roles

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.

• Get Psyched Behavioral Health Services

  • Mental Health Counselor
  • Lutz, FL
  • NPI 1124556840

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1629469044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 AMBERLY DR APT 625",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472188",
            "telephone_number": "813-909-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 164",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-689-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBB",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "15962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saphina Giangreco
• Noelle Frances Gianni, RBT
• Irene Melendres Gianzon
• Kelly Giarda
• Natalie Giarelli, APRN
• George Gibbons, M.D.
• Katherine Salesses Gibbons, PHARMD
• Kayla D Gibbons
• Nicole Gibbons, PA-C
• Richard B Gibbons

• Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Counselor in Florida

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