Raven Nicole Gibbs

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A17526 Issued in NC

Practice address

249 E NC Highway 54 Ste 320
Durham, NC 27713-2490

Phone

(919) 907-3334

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Good Stress Company PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1679079099
  Medicare reassignment NPD
• Cornerstone Counseling and Wellness PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1669944856
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1740924786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "919-907-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "919-907-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "RAVEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A17526",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Kathryn Gibbings, AU.D.
• Lindsey Gibbon
• Carol Minnette Gibbs, MD
• Megan Gibbs
• Mysia Gibbs
• Sarah Hoadley Gibbs, LPA
• Tiona Latoya Gibbs, LCMHC
• Allison Gibson, MSN, ACNP-BC
• Christian Gibson
• Felicia Gibson, PH.D.

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.