Active NPI
Cindy Gibson, LPC
- Mental Health Counselor
- Yukon, OK
National Provider Identifier
1982931069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 905 Patco Spur Ave
Yukon, OK 73099-7107 - Phone
- (405) 250-7920
- NPI assigned
- Nov 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
905 Patco Spur Ave
Yukon, OK 73099-7107
Mailing address
PO Box 271612
Oklahoma City, OK 73137-1612
Phone (405) 250-7920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982931069 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1982931069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271612",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731371612",
"telephone_number": "405-250-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 PATCO SPUR AVE",
"city": "YUKON",
"state": "OK",
"postal_code": "730997107",
"telephone_number": "405-250-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CINDY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982931069",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.