Pearl Gibson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0111295 Issued in CO

Practice address

503 N Main St Ste 450
Pueblo, CO 81003-3156

Phone

(719) 544-2219

NPI assigned

Mar 8, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Connecting Point Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1790262376
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821745878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ALVESTON ST",
            "city": "COLO SPGS",
            "state": "CO",
            "postal_code": "809102299",
            "telephone_number": "719-330-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 450",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033156",
            "telephone_number": "719-544-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PEARL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0111295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "111295",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donaldcounselor@protonmail.com",
            "affiliation": "N",
            "address_1": "503 N Main St Ste 450",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810033156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Giampaolo, M.D.
• Angelo Sam Giarratano, DPM
• Gordon F Gibbs, M.D.
• Dolinda H. M. Gibson, PA
• George Gibson, M.D
• Cameron Giebel
• Asma Gilani, MD
• Nylea Lace Gilcreast, LMT
• Symran Gill, M.D.
• Bryan Gillespie

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.