Individual provider Active NPI

Debra Elaine Gibson, LPC

  • Mental Health Counselor
  • Ponca City, OK
National Provider Identifier
1740225606
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2753 Issued in OK
Practice address
1500 N 6TH St
Ponca City, OK 74601-2827
Phone
(580) 762-7561
NPI assigned
Jun 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2753 OK Primary

Addresses

Primary practice location

1500 N 6TH St
Ponca City, OK 74601-2827

Mailing address

1900 N Osage St
Ponca City, OK 74601-1144
Phone (580) 762-1812

Other names 1

  • Debra Elaine Brock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240206002075 KS Practitioner - Mental Health Counselor 8628411741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Amy Meek Family Therapy Group LLCGroup PAC ID 4385051689, 10 clinicians
New Perspectives LLCGroup PAC ID 4981921764, 8 clinicians

Practice addresses (Care Compare)

1525 N Buckner St
Derby, KS 67037-2948
Phone (316) 788-6464

800 Main St
Suite 103
Winfield, KS 67156-2866
Phone (620) 221-8985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2753OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Meek Family Therapy Group LLC CurrentSince Jul 7, 2025 Accepting new patients
New Perspectives LLC CurrentSince Jan 1, 2024 Accepting new patients
Soma Psychiatry LLC PastSince May 28, 2025 Accepting new patients

Locations

1525 N Buckner St
Derby, KS 67037
Phone (316) 788-6464

8623 E 32nd St N
Wichita, KS 67226
Phone (316) 201-6047

320 E 9th Ave
Ste B
Winfield, KS 67156
Phone (316) 788-6464

800 Main St
Winfield, KS 67156
Phone (620) 221-4772

800 Main St
Ste 103
Winfield, KS 67156
Phone (620) 221-8985

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740225606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N OSAGE ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011144",
            "telephone_number": "580-762-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 6TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012827",
            "telephone_number": "580-762-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DEBRA",
        "middle_name": "ELAINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BROCK",
            "middle_name": "ELAINE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.