Georgeanna Gibson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

104885 Issued in KY

Practice address

1621 Scottsville Rd
Bowling Green, KY 42104-3244

Phone

(270) 746-6600

Fax

(270) 842-9008

NPI assigned

Jun 30, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Familyworks Therapy, LLC

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1588871743

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1932138344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 ALVATON RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229657",
            "telephone_number": "270-746-6600",
            "fax_number": "270-842-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043244",
            "telephone_number": "270-746-6600",
            "fax_number": "270-842-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GEORGEANNA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100274700",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georgeanna.gibson@trabuegroup.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1621 Scottsville Rd",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gentry Inc.
• Muhammad Owais Abdul Ghani, MD
• Abdol Ghayoumi, D.C.
• Nazanin Ghazisharif, D.D.S.
• Gibson Interventions, LLC
• Jane Catherine Gibson, M.D.
• Kaelyn Nicole Gibson, MSOT, OTR
• Nicole Lynn Gibson, BCBA
• Roger Gibson
• Todd Michael Gibson

• Professional Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.