ALISA KAYE GIBSON RICHARD (NPI# 1063997443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063997443 |
| Entity Type | Individual |
| Full Name | ALISA KAYE GIBSON RICHARD |
| Credential | LPCA |
| Practice Address |
311 Williamson Rd Ste 103 Mooresville NC 28117-5967 |
| Mailing Address |
2116 Mcclintock Rd Unit 232 Charlotte NC 28205-5159 |
| Practice Telephone | 7043603049 |
| Mailing Telephone | 8643144988 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A14341 | NC | Behavioral Health & Social Service Providers |
| Street Address |
311 WILLIAMSON RD STE 103 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362862 | Ruth Damilola Adepetun | Nurse Practitioner | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2014-10-29 |
| 1417562422 | Chloe Solek | Marriage & Family Therapist | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-09-15 |
| 1952914624 | Olivia Anne Tusa | Counselor | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-08-24 |
| 1275142606 | Shasta Minton | Counselor | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-07-31 |
| 1083222632 | Allison Green | Social Worker | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-07-20 |
| 1598373177 | Miranda Arthur | Counselor | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-07-20 |
| 1831712983 | Skylar Clark | Counselor | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-05-24 |
| 1225662463 | Lauren Kiser | Counselor | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-02-26 |
| 1568008597 | William Collins Wilkinson | Social Worker | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2019-11-25 |
| 1114585593 | Amy Marie Riecken | Social Worker | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548613 | Christine Verolme | Counselor | 232 S San Agustin Dr, Mooresville, NC 28117-8581 | 2019-09-23 |
| 1235511320 | Achieving Balance At The Farm | Counselor | 1915 Coddle Creek Hwy, Mooresville, NC 28115-8248 | 2015-06-24 |
| 1578944104 | Luis Alejandro Palma IIi | Counselor | 155 Joe Knox Ave, Mooresville, NC 28117-9169 | 2015-06-09 |
| 1740689538 | Northern Piedmont Counseling Pllc | Counselor | 125 Overhill Dr, Suite 105, Mooresville, NC 28117-8231 | 2014-08-18 |
| 1043626526 | Chanel C. Bowen | Counselor | 106 Langtree Village Dr Ste 301, Mooresville, NC 28117-7594 | 2014-07-07 |
| 1295016095 | Courtney Holley Hamilton | Counselor | 542 Williamson Rd Ste 4, Mooresville, NC 28117-9138 | 2011-09-07 |
| 1164735783 | Luticia Stoker Signet | Counselor | 118 Wisteria Ln, Mooresville, NC 28117-6695 | 2010-07-24 |
| 1093042442 | Step By Step Counseling | Counselor | 121 W Statesville Ave, Mooresville, NC 28115-2213 | 2009-11-05 |
| 1013973312 | Rxn, LLC | Counselor | 132 Joe V. Knox Ave, Suite 104, Mooresville, NC 28117-9203 | 2006-04-25 |
| 1316921083 | Jeanette Marie Diekman | Counselor | 484 Williamson Rd, Suite 105/e, Mooresville, NC 28117-9110 | 2005-12-05 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.