Gretchen Dawn Gibson, CSUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8145911-6005 Issued in UT

Practice address

344 E 100 S
Suite 301
Salt Lake City, UT 84111-1700

Phone

(801) 322-4257

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By 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

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1871992511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E 7625 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472958",
            "telephone_number": "801-633-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 100 S",
            "address_2": "SUITE 301",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111700",
            "telephone_number": "801-322-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GRETCHEN",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CSUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "8145911-6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Dana Gibbs
• Sarah A Gibbs, LCSW
• Timothy Gibbs
• Bryan Smith Gibson, MPT
• Genovieve Gibson
• Jennifer Gibson
• Kathryn Elizabeth Gibson, M.D.
• Keri Louise Gibson, MD
• Marissa Gibson
• Mark Gibson, MD

• Addiction (Substance Use Disorder) Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.