Nicole Gibbs

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008544 Issued in VA

Practice address

4099 Foxwood Dr
Virginia Beach, VA 23462-5222

Phone

(757) 467-8184

Fax

(757) 467-2485

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By 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

Other names 1

• Miss Nicole Brown Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

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

• National Counseling Group, Inc

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1710070545
  Medicare reassignment NPD
• Hope Psychotherapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1275153140
  Authorized official Same address or phone
• National Counseling Group, Inc

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1447345145
  NPD
• Strategic Therapy Associates, Inc.

  dba Strategic Therapy Associates

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1467187765
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1821464405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 AUBREY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627103",
            "telephone_number": "757-304-1699",
            "fax_number": "757-467-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 FOXWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625222",
            "telephone_number": "757-467-8184",
            "fax_number": "757-467-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROWN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joy Gianvittorio, MD
• Taschiana Gibbs-Hughes
• A'Lexus Ayanna Gibbs
• Allison N Gibbs
• Monique Antionette Gibbs, FNP-C
• Christopher L Gibert, MD
• Taylor Ann Giblin
• Christina Eileen Gibson-Messer, LRIC
• Cron A Gibson, LMFT
• Daniel Kenneth Gibson, IDC

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.