Kierra Gibbons

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11285625-3501 Issued in UT

Practice address

115 Golf Course Rd Ste E
Logan, UT 84321-5934

Phone

(435) 799-5035

NPI assigned

May 12, 2020

Last updated

Feb 20, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Solutions CounselingGroup PAC ID 5496172389, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Family Solutions Counseling

  • Clinical Social Worker
  • Logan, UT
  • NPI 1073034823
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1720600703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 500 S STE 9",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782912",
            "telephone_number": "435-789-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GOLF COURSE RD STE E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215934",
            "telephone_number": "435-799-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "KIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11285625-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Esteban Gerald, CMHC, LMHC, CRC
• Gessner Peterson House Calls Inc (Utah Mobile Physicians)
• Roueida Ghadban, PHD CLINICAL PSYCHOL
• Brenda Ann Gibbons
• Jennie Grace Gibbons
• Gustaf Isaac Gibson, O.D.
• Jamielyn Ekiko Gibson
• Tanya Gibson, CSW, MSW
• Blake Mark Gilbert, PHARMD
• John Giles, PA-C

• Clinical Social Worker in Logan, UT
• Providers in Logan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.