Individual provider Active NPI

Robert Gene Gibbs Jr., CDP, RC

  • Counselor
  • Auburn, WA
National Provider Identifier
1669526232
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CP00004227 Issued in WA
Practice address
923 Auburn Way N
Auburn, WA 98002-4117
Phone
(253) 352-3900
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X RC00037756 WA
Counselor 101Y00000X CP00004227 WA Primary

Addresses

Primary practice location

923 Auburn Way N
Auburn, WA 98002-4117

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

14216 NE 21st St
Bellevue, WA 98007-3720
Phone (425) 653-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgibbs21798@healthpoint.direct-ci.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP00004227WAMDCounselor
RC00037756WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound PastSince Oct 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rgibbs21798@healthpoint.direct-ci.com
  • Direct secure messaging: robert.gibbsjr.p3@direct.hpc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1669526232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024117",
            "telephone_number": "253-352-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14216 NE 21st St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073720",
            "country_code": "US",
            "telephone_number": "425-653-4900",
            "fax_number": "425-653-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CDP, RC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00037756",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CP00004227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgibbs21798@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "923 Auburn Way N",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980024117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.