Jessica Lynn Gibo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

271799 Issued in KY

Practice address

1403 Spring St Ste 1
Jeffersonville, IN 47130-3736

Phone

(866) 300-6707

NPI assigned

Oct 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  KY, Marriage & Family Therapist

  Medicare reassignment NPD
• Pax Riverbend LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1154979615
  NPD (past)

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1700548419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 APPLEWOOD CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147552",
            "telephone_number": "808-738-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SPRING ST STE 1",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303736",
            "telephone_number": "866-300-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "271799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.gibo@paxriverbend.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1403 Spring St Ste 1",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grant Norman Gellert, MD
• Dawn Gentry
• George M. Wolverton M.D. Inc.
• Julie George, LCSW
• Emily Getty, APRN
• Eric Gibson, RBT
• Rachel Gibson, DPT
• Steven G Gibson, MD
• Timothy Daniel Gibson, DDS
• Heavenly Star Gloria Gilbert, LMHCA

• Marriage & Family Therapist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.