Nikki Gibbons, MA, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3640 Talmage Cir Ste 205
Vadnais Heights, MN 55110-4183

Phone

(612) 655-8018

NPI assigned

Jun 13, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972033900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 158TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550387103",
            "telephone_number": "612-655-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 205",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104183",
            "telephone_number": "612-655-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10077 Dogwood St NW # 206",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554485286",
            "country_code": "US",
            "telephone_number": "612-655-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "NIKKI",
        "credential": "MA, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Gannon, MD
• Tracy Fuchs Gannon, MD
• Rachael C Gates
• Jennifer Ann Geske
• Ying Gibbens, MD PHD
• Philip Gerard Giesen, PT
• Jeri L Gilb, APRN, CNP
• Reid A Gilbertson, MD
• Nouh Gobena, RPH
• Megan Groh, RDN

• Marriage & Family Therapist in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.