Individual provider Active NPI

Tina Lynn Gibson, M.S.

  • Mental Health Counselor
  • McAlester, OK
National Provider Identifier
1851609408
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1101 E Washington Ave
McAlester, OK 74501-4919
Phone
(918) 420-5006
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1101 E Washington Ave
McAlester, OK 74501-4919

Mailing address

1101 E Washington Ave
McAlester, OK 74501-4919
Phone (918) 420-5006

Other names 1

  • Tina Lynn Gibson Duffy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240104002550 OK Practitioner - Mental Health Counselor 9537510433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massey Counseling and ConsultingGroup PAC ID 9032490578, 4 clinicians

Practice addresses (Care Compare)

1101 E Washington Ave
McAlester, OK 74501-4919
Phone (918) 420-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Massey Counseling and Consulting CurrentSince Jan 1, 2024 Accepting new patients

Locations

1101 E Washington Ave
McAlester, OK 74501
Phone (918) 420-5006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1851609408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014919",
            "telephone_number": "918-420-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014919",
            "telephone_number": "918-420-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TINA",
        "middle_name": "LYNN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "GIBSON DUFFY",
            "middle_name": "LYNN",
            "credential": "M.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.