Leah Gipson, LCPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008775 Issued in IL

Practice address

101 Laramie Cir
Panama City, FL 32404-6631

Phone

(708) 567-5436

NPI assigned

Dec 20, 2020

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": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1841886181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LARAMIE CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046631",
            "telephone_number": "708-567-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LARAMIE CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046631",
            "telephone_number": "708-567-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Austin Blvd Apt 3I",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603042332",
            "country_code": "US",
            "telephone_number": "708-567-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "LEAH",
        "credential": "LCPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Delan Gilliam, PT
• Jolie Lynn Gillis, LMHC
• Bethany Gillman
• Kellie Gilmore
• Laura Stewart Gilmore, P.A.
• Paul Jon Gitlin, MD
• Janet Gladis, LMT
• Lorretta Glass, LMFT
• Catherine L Glidden, ARNP
• Christina Gliser, PHD, ABPP

• Professional Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.