Evelyn Gibson-Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5930 E 31St St
Tulsa, OK 74135-5107

Phone

(918) 270-2413

NPI assigned

Jan 18, 2016

Last updated

Jan 18, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1821455163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E 123RD ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355107",
            "telephone_number": "918-270-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON-JOHNSON",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braden Alexander Gibbs, LPC
• Jamie Gibbs
• Rachel Lucile Gibbs, MD
• Vickie Donise Gibbs, M.D
• Gibson Family Counseling LLC
• Macy Ann Gibson-Sanchez, DO
• Amanda Watson Gibson, MD
• Ashley Marie Gibson
• Aspen Gibson
• Avery Nicole Gibson

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.