Individual provider Active NPI

Katherine Gibson, MA, LPC-MHSP

  • Mental Health Counselor
  • Chattanooga, TN
National Provider Identifier
1699558163
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5653 Issued in TN
Practice address
3085 Broad St
Chattanooga, TN 37408-3084
Phone
(423) 218-2528
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6981 GA
Mental Health Counselor 101YM0800X 5653 TN Primary

Addresses

Primary practice location

3085 Broad St
Chattanooga, TN 37408-3084

Mailing address

3085 Broad St
Chattanooga, TN 37408-3084
Phone (423) 218-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 18, 2024 through Jan 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5653TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Richmont Graduate University Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

1815 McCallie Ave
Chattanooga, TN 37404
Phone (423) 648-2412

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1699558163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 BROAD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083084",
            "telephone_number": "423-218-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BROAD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083084",
            "telephone_number": "423-218-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATHERINE",
        "credential": "MA, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "6981",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.