Patty Gibbs

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

072526 Issued in IA

Practice address

4117 N Linwood Ave
Davenport, IA 52806-4935

Phone

(563) 949-0780

NPI assigned

Sep 8, 2014

Last updated

Sep 8, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• PJG and Associates

  dba Positive Pathways To Healing

  • Clinic/Center
  • Davenport, IA
  • NPI 1992593933

  Professional

  Medicare reassignment NPD Authorized official
• PJG and Associates

  dba PJG and Associates Illinois

  • Professional Counselor
  • Rolling Meadows, IL
  • NPI 1740173699
  Medicare reassignment NPD Authorized official
• Family Empowerment Services, Inc

  • Social Worker
  • Davenport, IA
  • NPI 1093942856
  Medicare reassignment

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1750782850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N LINWOOD AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 N LINWOOD AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064935",
            "telephone_number": "563-949-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "PATTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "072526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genventures, Inc. (Genesis FirstMed Pharmacy (adding Genesis to d/b/a))
• Dietrich A Gerhardt, MD
• Allison Maher Germundson, OTR/L
• Getnresults, L.L.C. (Forever Me, L.L.C.)
• Husam Saba Elias Ghawi, M.D.
• Lauren Elizabeth Gil Hayes, LISW, LCSW, LMSW
• Robert J. Gilbert, D.C.
• Emily Lynn Gillen
• Jordan Gillund, DPT
• Lloyd D Gillund, PT

• Professional Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Professional Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.