Active NPI
Leila Elizabeth Gibbs, LAC
- Mental Health Counselor
- Paramus, NJ
National Provider Identifier
1760164560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00560200
- Practice address
- 610 Valley Health PLZ
Paramus, NJ 07652-3607 - Phone
- (201) 383-6236
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00560200 | NJ | Primary |
Addresses
Primary practice location
610 Valley Health PLZ
Paramus, NJ 07652-3607
Mailing address
191 Grumman Ave
Newark, NJ 07112-1749
Phone (973) 508-9130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00560200 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1760164560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 GRUMMAN AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071121749",
"telephone_number": "973-508-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLZ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523607",
"telephone_number": "201-383-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "LEILA",
"middle_name": "ELIZABETH",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00560200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.