Shirley Sanders Gibbs, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 11118 Issued in TX

Practice address

3072 County Road NW 1018
Mount Vernon, TX 75457-5937

Phone

(903) 537-2351

Fax

(903) 537-2351

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841415692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 COUNTY ROAD NW 1018",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754575937",
            "telephone_number": "903-537-2351",
            "fax_number": "903-537-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 COUNTY ROAD NW 1018",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754575937",
            "telephone_number": "903-537-2351",
            "fax_number": "903-537-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "SHIRLEY",
        "middle_name": "SANDERS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Medical Center Mount Vernon
• East Texas Medical Center Pittsburg (ETMC First Physicians Clinic Mount Vernon)
• Aleesa Jordan Ellison, COTA
• Franklin Dentistry Associates PA
• Franklin Emergency Medicine Associates PA
• Givens & Coe Health & Wellness PLLC
• Jeffrey S Gusky, MD
• Mark J Hamilton, MD
• Emma Lea Hightower
• Natalie A Holley, DC

• Mental Health Counselor in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.