Organization Active NPI

Gibbs Place, LLC

  • Counselor
  • College Park, MD
National Provider Identifier
1669851648
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GIBBS PLACE, LLC
Practice address
6200 Westchester Park Dr # 320
College Park, MD 20740-2836
Phone
(202) 999-8634
NPI assigned
May 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Beatrice DunnNPI 1356070072
Title
Program Manager
Phone
(202) 999-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

6200 Westchester Park Dr # 320
College Park, MD 20740-2836

Mailing address

6200 Westchester Park Dr # 320
College Park, MD 20740-2836
Phone (202) 999-8634

Other practice location 1

3806 39th St Apt 2
Brentwood, MD 20722-1507
Phone (301) 927-0381

Other practice location 2

8850 Spiral Cut Unit H
Columbia, MD 21045-2730
Phone (301) 442-3826

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1669851648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WESTCHESTER PARK DR # 320",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402836",
            "telephone_number": "202-999-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WESTCHESTER PARK DR # 320",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402836",
            "telephone_number": "202-999-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3806 39th St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MD",
            "postal_code": "207221507",
            "country_code": "US",
            "telephone_number": "301-927-0381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8850 Spiral Cut Unit H",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452730",
            "country_code": "US",
            "telephone_number": "301-442-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIBBS PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-25",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "202-999-8634"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.