Amanda Gibson, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMANDA GIBSON, LCSW

Practice address

2617 K St Ste 125
Sacramento, CA 95816-5133

Phone

(916) 633-0854

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Dillon

Title

Billing and Credentialing Specialis

Phone

(530) 277-7054

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Gibson, LCSW

  • Mental Health Counselor
  • Sacramento, CA
  • NPI 1790888998
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1639857683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 K ST STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165133",
            "telephone_number": "916-633-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 K ST STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165133",
            "telephone_number": "916-633-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA GIBSON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING SPECIALIS",
        "authorized_official_telephone_number": "530-277-7054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lestell Jeannesa Amador Kelly
• Ethan Amador
• Virginia J Amador
• Rose Mary Amalfitano, PH.D
• Edris Aman, M.D.
• Amandeep Kaur Johal, M.D., Inc, a Medical Corporation
• Amani Home Health Services, LLC
• Timar Amanuel
• Christopher Bryan Amaral
• Kiana Amaral

• Community/Behavioral Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.