Jason Lee Gibson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2808 Issued in AL

Practice address

1040 Longfield CT
Montgomery, AL 36117-8055

Phone

(256) 701-5651

Fax

(256) 429-9411

NPI assigned

Jul 12, 2012

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Behavioral Health, Inc.

  • Psychiatry Physician
  • Madison, AL
  • NPI 1730522699

  Professional

  Medicare reassignment Care Compare group NPD
• Ellis Counseling LLC

  • Professional Counselor
  • Prattville, AL
  • NPI 1649544453
  NPD (past)
• Emerge Counseling LLC

  dba Ellis Counseling

  • Counselor
  • Prattville, AL
  • NPI 1588394415
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1699030858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291",
            "fax_number": "256-325-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LONGFIELD CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178055",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Glynwood Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360668500",
            "country_code": "US",
            "telephone_number": "334-358-2455",
            "fax_number": "334-491-2456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Giannas, PA-C
• Jessica Marie Gibbe Fernandez, LMFT, PHD
• Leterrica Gibbs, PHD.
• Sydney Giblin, MD
• Griffin Gibson II, MD
• Jessica Rylant Gibson, M.S.,OTR/L
• Nancy J. Gibson, O.T.R.
• Tracey Gibson, LPC
• Gift of Life Foundation
• Gift of Life Foundation

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.