Elizabeth D Gibbens, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13768 Issued in NE

Practice address

815 Lake Ave
Gothenburg, NE 69138-1943

Phone

(308) 537-3691

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

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 names 1

• Elizabeth Stallbaumer Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibbens Family Counseling LLC

  • Mental Health Counselor
  • Cozad, NE
  • NPI 1790671477
  NPD Authorized official
• New Hope Counseling, Inc.

  • Mental Health Counselor
  • Gothenburg, NE
  • NPI 1386063535
  NPD (past)

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1871354563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E 17TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301666",
            "telephone_number": "308-746-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LAKE AVE",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381943",
            "telephone_number": "308-537-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STALLBAUMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Feather, M.S. CCC-SLP
• Cynthia Ann Foresman, LMHP
• Kyle Ryan Fornoff, DPT
• Frontier Home Medical, Inc
• Brittany Gibbens
• Gothenburg Discount Pharmacy Inc. (Gothenburg Discount Pharmacy)
• Gothenburg Family Practice Rural Health Clinic LLC
• Gothenburg Memorial Hospital (Gothenburg Health)
• Gothenburg Memorial Hospital (Gothenburg Clinic)
• Gothenburg Memorial Hospital (Gothenburg Health)

• Mental Health Counselor in Gothenburg, NE
• Providers in Gothenburg, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.