Chelsea Gibson, M.S.ED, M.PHIL.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61194657 Issued in WA

Practice address

4501 15TH Ave S Ste 103
Seattle, WA 98108-1874

Phone

(206) 249-9856

NPI assigned

Jul 9, 2019

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 3, 2024 through Jan 3, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Youth Eastside Services

  • Community/Behavioral Health Agency
  • Bellevue, WA
  • NPI 1356496335
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1679125728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "206-249-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "206-249-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CHELSEA",
        "credential": "M.S.ED, M.PHIL.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61194657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Antonia Giblin
• Nicole S Gibran
• Yakita Trenissia Gibrano
• Brandon Gibs, MA
• Ara Gibson
• Cheryl Gibson, OTR/L
• Christy L Gibson, M.D.
• Darrell I Gibson, DC
• Graeme D Gibson, DC
• Jennifer Gibson, LMP

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.