Active NPI
Teresa Denise Gibson
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1861548232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT48181
- Practice address
- 2425 Bisso LN
Suite 200
Concord, CA 94520-4897 - Phone
- (925) 521-5764
- Fax
- (925) 646-5102
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT48181 | CA | Primary |
Addresses
Primary practice location
2425 Bisso LN
Suite 200
Concord, CA 94520-4897
Mailing address
2425 Bisso LN
Suite 200
Concord, CA 94520-4897
Phone (925) 521-5764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT48181 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1861548232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 BISSO LN",
"address_2": "SUITE 200",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204897",
"telephone_number": "925-521-5764",
"fax_number": "925-646-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BISSO LN",
"address_2": "SUITE 200",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204897",
"telephone_number": "925-521-5764",
"fax_number": "925-646-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "TERESA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT48181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.