Holly Jean Christian Gibbons, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

22751 Issued in FL

Practice address

1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204

Phone

(407) 488-4892

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 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 FL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holly Gibbons LMHC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davenport, FL
  • NPI 1356202279
  Medicare reassignment NPD
• Evans Family Psychiatry Inc

  dba Next Chapter Integrative Psychiatry

  • Psychiatry Physician
  • Winter Garden, FL
  • NPI 1497550628
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1811775588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 SUNRISE PLAZA DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146204",
            "telephone_number": "407-488-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SUNRISE PLAZA DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146204",
            "telephone_number": "407-488-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN GIBBONS",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "22751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Chiozzo
• Choice Meds USA, Inc. (Remote Dispensing Location of Choice Meds USA)
• Shobashalini Chokkalingam, MD
• Choose Life Wellness Center, LLC
• Courtney Darcey Chrisler, MD
• Cara Christian
• Christina Caldwell PSYD PA
• Tisha Christopher, PHD
• Stacey Joyce Churchill, MPT
• Courtney Ciano

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.